Organization
GASTRO MED, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS RAFAEL GONZALEZ M.D. (PRESIDENT)
(787) 878-1900
Entity
Organization
Contact information
Practice address
58 AVE BARBOSA, ARECIBO, PR 00612-4378
(787) 878-1900
(787) 878-0421
Mailing address
PO BOX 411, ARECIBO, PR 00613-0411
(787) 878-1908
(787) 878-0421
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4624
PR
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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