Organization
J.R.A.GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE E. RIVERA-ACOSTA M.D. (PRESIDENT)
(787) 598-1555
Entity
Organization
Contact information
Practice address
AVE. PONCE DE LEON #735, TORRE MEDICA AUXILIO MUTUO SUITE #816, SAN JUAN, PR 00917
(787) 765-1025
Mailing address
138 AVE WINSTON CHURCHILL, PMB 357, SAN JUAN, PR 00926-6013
(787) 763-1020
(787) 250-1928
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17183
PR
207RT0003X
Transplant Hepatology Physician
17183
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17183
PUERTO RICO BOARD OF LICENSING AND MEDICAL DISCIPLINE
PR
Enumeration date
06/19/2015
Last updated
06/19/2015
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