Organization
CLINICA DE GASTROENTEROLOGIA DR. RAFAEL PEREZ BARTOLOMEI CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL A PEREZ-BARTOLOMEI MD (PRESIDENT)
(787) 884-4872
Entity
Organization
Contact information
Practice address
B40 CALLE ELLIOT VELEZ, URB ATENAS, MANATI, PR 00674-4615
(787) 884-4872
(787) 884-4873
Mailing address
B40 CALLE ELLIOT VELEZ, URB ATENAS, MANATI, PR 00674-4615
(787) 884-4872
(787) 884-4873
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14750
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085384
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
PR
01
—
14750
MEDICAL LICENSE
PR
Enumeration date
11/07/2007
Last updated
09/25/2013
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