# GASTRO MED DE PUERTO RICO PSC

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

## Provider details

- **NPI number:** 1912373432
- **Authorized official:** DR. GINES A MARTINEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 691-1201

## Contact information

- **Practice address:** HIMA PLAZA 1, 500 AVE DEGETAU STE 405, CAGUAS, PR 00725-7301
- **Practice address phone:** (787) 744-6590
- **Practice address fax:** (787) 961-4686
- **Mailing address:** PO BOX 6600, CAGUAS, PR 00726-6600
- **Mailing address phone:** (787) 691-1201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 8842 | PR | Yes |

## Other

- **Enumeration date:** 08/19/2015
- **Last updated:** 08/19/2015