Organization
GASTRO SUR PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMARILYS SANTIAGO ROLON MD (PRESIDENT)
(787) 537-7991
Entity
Organization
Contact information
Practice address
PORTO FINO PLAZA CARR #3 KM 158.7, SALINAS, PR 00751
(787) 239-7850
(866) 325-4826
Mailing address
PO BOX 827, JUANA DIAZ, PR 00795-0827
(787) 239-7850
(866) 325-4826
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
18073
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18073
LIC
PR
Enumeration date
09/02/2016
Last updated
06/14/2023
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