Organization
ADVANCED GASTROENTEROLOGY CENTER, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIRAM D. ORTEGA MD, JD (GASTROENTEROLOGIST)
(787) 529-1699
Entity
Organization
Contact information
Practice address
CARR 115 KM 24.1, AGUADA, PR 00602
(787) 679-8144
Mailing address
PO BOX 1443, AGUADA, PR 00602-1443
(787) 679-8144
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
17586
PR
Other
Enumeration date
11/01/2013
Last updated
11/24/2015
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