# GASTROENTEROLOGY AND CARDIAC ARRHYTHMIA SERVICE PSC

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

## Provider details

- **NPI number:** 1497997555
- **Authorized official:** DR. LUARDE ISAAC MONTANO M.D. (PRESIDENT)
- **Authorized official phone:** (787) 390-9090

## Contact information

- **Practice address:** 93 PASEO HERRADURA, TRUJILLO ALTO, PR 00976-6068
- **Practice address phone:** (787) 390-9090
- **Mailing address:** 93 PASEO HERRADURA, TRUJILLO ALTO, PR 00976-6068
- **Mailing address phone:** (787) 390-9090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 13,964 | PR | — |
| 207RG0100X | Gastroenterology Physician | 15,987 | PR | Yes |

## Other

- **Enumeration date:** 04/02/2009
- **Last updated:** 04/02/2009