Organization
SOUTHEAST GASTROENTEROLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL JAVIER DE JESUS MD (PRESIDENT)
(939) 639-5839
Entity
Organization
Contact information
Practice address
222B CALLE 4, URB VIVES, GUAYAMA, PR 00784
(787) 866-4005
(787) 866-4072
Mailing address
PO BOX 510, GUAYAMA, PR 00785-0510
(787) 866-4005
(787) 866-4072
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14017
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037895300
—
PR
01
—
1821061383
NPI
PR
Enumeration date
08/21/2015
Last updated
07/30/2026
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