Organization
DR. JACA MONTIJO CSP
Active
Other names
INSTITUTO DE GASTROENTEROLOGIA AVANZADA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGNACIO JACA M.D. (PRESIDENT)
(787) 559-5212
Entity
Organization
Contact information
Practice address
METROMEDICAL, SUITE 903, BAYAMON, PR 00959-5065
(787) 935-7500
(787) 395-7501
Mailing address
1995 CARR 2 STE 2903, BAYAMON, PR 00959-5062
(787) 395-7500
(787) 395-7501
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
13094
PR
261QE0800X
Endoscopy Clinic/Center
Primary
13094
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HY226A
—
PR
Enumeration date
09/17/2012
Last updated
03/11/2019
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