Organization
SAN PABLO GASTROENTEROLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO JUAN MARRERO M.D. (OWNER)
(787) 995-0500
Entity
Organization
Contact information
Practice address
28 SANTA CRUZ STREET, TORRE SAN PABLO SUITE 202-A, BAYAMON, PR 00961
(787) 995-0500
(787) 785-0063
Mailing address
425 CARR 693, PMB 152, DORADO, PR 00646-4816
(787) 995-0500
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
16988
PR
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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