# CENTRO GASTRO-ENDOSCOPICO DE LA MONTANA CORP

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

## Provider details

- **NPI number:** 1447799358
- **Authorized official:** DR. ELADIO PEREZ CRUZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 802-1400

## Contact information

- **Practice address:** CARR 159 \# KM27.4, COROZAL SHOPPING VILLAGE, COROZAL, PR 00783-2903
- **Practice address phone:** (787) 802-1400
- **Practice address fax:** (787) 802-1200
- **Mailing address:** PO BOX 19006, SAN JUAN, PR 00910
- **Mailing address phone:** (787) 802-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 8686 | PR | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/13/2017