CENTRO GASTRO-ENDOSCOPICO DE LA MONTANA CORP


Address: Carr 159 # Km27.4, Corozal Shopping Village, Corozal, PR 00783-2903
Phone: 7878021400

CENTRO GASTRO-ENDOSCOPICO DE LA MONTANA CORP (NPI# 1447799358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447799358
Entity Type Organization
Organization Name CENTRO GASTRO-ENDOSCOPICO DE LA MONTANA CORP
Practice Address Carr 159 # Km27.4
Corozal Shopping Village
Corozal
PR 00783-2903
Mailing Address Po Box 19006
San Juan
PR 00910
Practice Telephone 7878021400
Practice Fax Number 7878021200
Mailing Telephone 7878021400
Enumeration Date 2017-02-13
Last Update Date 2017-02-13
Authorized Official Name DR. ELADIO PEREZ CRUZ (PRESIDENT)
Authorized Official Telephone 7878021400
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
8686 PR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PR CERTIFICATE OF REGISTRY 390127 01

Office Location

Street Address CARR 159 # KM27.4
COROZAL SHOPPING VILLAGE
City COROZAL
State PR
Zip Code 00783-2903

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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1952947087 Mfp Gastroenterology, LLC Internal Medicine Edificio Jesus T. Pineiro Ave Fernandez Juncos, Esq. Calle Molinillo, Bo. Pueblo, Carolina, PR 00986 2019-11-25
1396205506 Marcia Cruz Correa LLC Internal Medicine Hospital Oncologico Isaac Gonzalez Martinez, First Floor Gastroenterology, San Juan, PR 00935-0001 2019-03-22
1457871295 Wilma Cotto Psc Internal Medicine Carimed Plaza B-1, Suite 203 Calle Santa Cruz, Bayamon, PR 00961 2017-06-22
1952845018 Ew Gastro C.s.p Internal Medicine Urb Cautiva, 3 Almacigos, Caguas, PR 00727 2016-12-08
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City COROZAL
Zip Code 00783

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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