# GASTROENTEROLOGIA AVANZADA DEL CARIBE,C.S.P.

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

## Provider details

- **NPI number:** 1760645105
- **Authorized official:** MRS. ANA MARIA LOPEZ (ADMINISTRATOR)
- **Authorized official phone:** (787) 265-4250

## Contact information

- **Practice address:** 55 EAST DE DIEGO STREET, C.P.R. PROF. BLDG., SUITE 104, MAYAGUEZ, PR 00680
- **Practice address phone:** (787) 265-4250
- **Practice address fax:** (787) 265-4290
- **Mailing address:** PO BOX 3146, MAYAGUEZ, PR 00681-3146
- **Mailing address phone:** (787) 265-4250
- **Mailing address fax:** (787) 265-4290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 12853 | PR | Yes |

## Other

- **Enumeration date:** 07/07/2008
- **Last updated:** 03/19/2013