Organization
GASTROENTEROLOGIA AVANZADA DEL CARIBE,C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA MARIA LOPEZ (ADMINISTRATOR)
(787) 265-4250
Entity
Organization
Contact information
Practice address
55 EAST DE DIEGO STREET, C.P.R. PROF. BLDG., SUITE 104, MAYAGUEZ, PR 00680
(787) 265-4250
(787) 265-4290
Mailing address
PO BOX 3146, MAYAGUEZ, PR 00681-3146
(787) 265-4250
(787) 265-4290
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12853
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089618
MEDICARE & TRIPLE S
PR
Enumeration date
07/07/2008
Last updated
03/19/2013
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