# INSTITUTO DIGESTIVO DE PUERTO RICO, P.S.C.

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

## Provider details

- **NPI number:** 1548397573
- **Authorized official:** DR. VICTOR J COLON-VAZQUEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 747-2530

## Contact information

- **Practice address:** CONSOLIDATED MALL, SUITE C-18, CAGUAS, PR 00725
- **Practice address phone:** (787) 747-2530
- **Practice address fax:** (787) 744-6392
- **Mailing address:** PO BOX 7947, CAGUAS, PR 00726-7947
- **Mailing address phone:** (787) 747-2530
- **Mailing address fax:** (787) 744-6392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 13117 | PR | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 04/16/2013