Organization
GASTRO MED DE PUERTO RICO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINES A MARTINEZ MD (PRESIDENT)
(787) 691-1201
Entity
Organization
Contact information
Practice address
HIMA PLAZA 1, 500 AVE DEGETAU STE 405, CAGUAS, PR 00725-7301
(787) 744-6590
(787) 961-4686
Mailing address
PO BOX 6600, CAGUAS, PR 00726-6600
(787) 691-1201
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
8842
PR
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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