# SAN PATRICIO GASTROENTEROLOGY, PSC

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

## Provider details

- **NPI number:** 1588976161
- **Authorized official:** MR. FEDERICO GONZALEZ (ADMINISTRATOR)
- **Authorized official phone:** (787) 283-0804

## Contact information

- **Practice address:** 101 SAN PATRICIO AVE., SUITE 1050 MARAMAR PLAZA, GUAYNABO, PR 00966-2715
- **Practice address phone:** (787) 946-5220
- **Practice address fax:** (787) 946-5220
- **Mailing address:** 101 SAN PATRICIO AVE., SUITE 1050 MARAMAR PLAZA, GUAYNABO, PR 00966-2715
- **Mailing address phone:** (787) 946-5220
- **Mailing address fax:** (787) 946-5220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 14704 | PR | Yes |

## Other

- **Enumeration date:** 07/12/2010
- **Last updated:** 04/14/2015