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Organization

EW GASTRO C.S.P

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EMANUEL WARRINGTON COLON M.D (PRESIDENT)
(787) 214-9163
Entity
Organization

Contact information

Practice address
URB CAUTIVA, 3 ALMACIGOS, CAGUAS, PR 00727
(787) 214-9163
(787) 761-5764
Mailing address
LF 1 CALLE 32, URB VILLA DEL REY 5TA SECCION, CAGUAS, PR 00727
(787) 214-9163
(787) 761-5764

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17848
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17848
PROF. MEDICAL LIC
PR
Enumeration date
12/08/2016
Last updated
12/08/2016
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