Organization
YM GASTRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAHAIRA MORENO DENIZARD M.D. (PRESIDENT)
(787) 452-3122
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON, TORRE MEDICA AUXILIO MUTUO 707, SAN JUAN, PR 00917-5022
(787) 756-5900
Mailing address
735 AVE PONCE DE LEON, TORRE MEDICA AUXILIO MUTUO 707, SAN JUAN, PR 00917-5022
(787) 756-5900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17524
PR
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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