# CENTRO DE GASTROENTEROLOGIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316394612
- **Authorized official:** MR. MELVYN M. ACOSTA FEBO M.D. (M.D)
- **Authorized official phone:** (787) 777-8212

## Contact information

- **Practice address:** AVE CESAR GONZALEZ 405, DORAL BANK CENTER 576, SAN JUAN, PR 00919
- **Practice address phone:** (787) 777-8202
- **Practice address fax:** (787) 777-8204
- **Mailing address:** 576 AVE CESAR GONZALEZ SUITE 405, DORAL BANK CENTER, SAN JUAN, PR 00919
- **Mailing address phone:** (787) 777-8202
- **Mailing address fax:** (787) 777-8204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2016
- **Last updated:** 05/17/2016