# PUERTO RICO GASTROENTEROLOGY LLC

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

## Provider details

- **NPI number:** 1679279764
- **Authorized official:** FRAY ARROYO-MERCADO MD (CO-OWNER)
- **Authorized official phone:** (787) 621-2633

## Contact information

- **Practice address:** 200 CALLE HERNANDEZ CARRION, SUITE 512, MMC PROFESSIONAL PLAZA, MANATI, PR 00674-0067
- **Practice address phone:** (787) 621-2633
- **Mailing address:** MMC PROFESSIONAL PLAZA, 200 CALLE HERNANDEZ CARRION, SUITE 512, MANATI, PR 00674
- **Mailing address phone:** (787) 621-2633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2023
- **Last updated:** 04/05/2023
