# YM GASTRO LLC

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

## Provider details

- **NPI number:** 1366821126
- **Authorized official:** YAHAIRA MORENO DENIZARD M.D. (PRESIDENT)
- **Authorized official phone:** (787) 452-3122

## Contact information

- **Practice address:** 735 AVE PONCE DE LEON, TORRE MEDICA AUXILIO MUTUO 707, SAN JUAN, PR 00917-5022
- **Practice address phone:** (787) 756-5900
- **Mailing address:** 735 AVE PONCE DE LEON, TORRE MEDICA AUXILIO MUTUO 707, SAN JUAN, PR 00917-5022
- **Mailing address phone:** (787) 756-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 17524 | PR | Yes |

## Other

- **Enumeration date:** 05/27/2015
- **Last updated:** 05/27/2015