# CLINICA DE GASTROENTEROLOGIA

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

## Provider details

- **NPI number:** 1811023252
- **Authorized official:** DR. WALTER E JANER-MARTINEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 779-6666

## Contact information

- **Practice address:** \#73 SANTA CRUZ ST. STE 215, SANTA CRUZ MEDICAL BUILDING, BAYAMON, PR 00961-6910
- **Practice address phone:** (787) 283-0804
- **Practice address fax:** (787) 761-5764
- **Mailing address:** PO BOX 1132, TRUJILLO ALTO, PR 00977-1132
- **Mailing address phone:** (787) 283-0804
- **Mailing address fax:** (787) 761-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 13568 | PR | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 10/19/2007