# CENTRO GASTROENTEROLOGIA AVANZADA DEL NORTE CSP

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

## Provider details

- **NPI number:** 1639206667
- **Authorized official:** DR. JORGE L CORTES RUIZ MD (MIDICO)
- **Authorized official phone:** (787) 778-0632

## Contact information

- **Practice address:** INSTITUTO SAN PABLO SUITE 502, BAYAMON, PR 00961
- **Practice address phone:** (787) 778-0632
- **Practice address fax:** (787) 778-3720
- **Mailing address:** 333 DORADO BEACH EAST, DORADO, PR 00646-2217
- **Mailing address phone:** (787) 778-0632
- **Mailing address fax:** (787) 778-3720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 13909 | PR | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 03/07/2023