# PUERTO RICO GASTRO CARE P.S.C.

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

## Provider details

- **NPI number:** 1508641606
- **Authorized official:** DR. JOSE A HERNANDEZ ROMAN MD (PRESIDENT)
- **Authorized official phone:** (787) 552-9440

## Contact information

- **Practice address:** CARR. 2 KM 47.7, MANATI, PR 00674
- **Practice address phone:** (787) 854-3322
- **Mailing address:** 89 CALLE KENNEDY, TOA ALTA, PR 00953-3627
- **Mailing address phone:** (787) 552-9440

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2023
- **Last updated:** 08/28/2023