Organization
VR GASTRO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO E OSORIO MANOTAS MD (PRESIDENT)
(787) 780-4297
Entity
Organization
Contact information
Practice address
PASEO SAN PABLO #100, EDIF. ARTURO CADILLA SUITE 501, BAYAMON, PR 00961
(787) 780-4297
(787) 798-3110
Mailing address
CIUDAD JARDIN, 443 PASEO DORADO, CANOVANAS, PR 00729
(787) 780-4297
(787) 798-3110
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020939
LICENCE NUMBER
PR
Enumeration date
08/27/2019
Last updated
08/27/2019
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