SAN PABLO GASTROENTEROLOGY PSC (NPI# 1487035390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487035390 |
| Entity Type | Organization |
| Organization Name | SAN PABLO GASTROENTEROLOGY PSC |
| Practice Address |
28 Santa Cruz Street Torre San Pablo Suite 202-a Bayamon PR 00961 |
| Mailing Address |
425 Carr 693 Pmb 152 Dorado PR 00646-4816 |
| Practice Telephone | 7879950500 |
| Practice Fax Number | 7877850063 |
| Mailing Telephone | 7879950500 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | DR. RICARDO JUAN MARRERO (OWNER) |
| Authorized Official Telephone | 7879950500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
16988 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
28 SANTA CRUZ STREET TORRE SAN PABLO SUITE 202-A |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021194 | Dr Veronica Beyley Pagan | Internal Medicine | Urbanizacion Hermanas Davila, Calle J9, Bayamon, PR 00958 | 2020-07-24 |
| 1114558640 | Gastroenterologos Asociados De Puerto Rico Psc | Internal Medicine | Calle 2 J-13, Extension Hermanas Davila, Bayamon, PR 00959-0001 | 2020-02-03 |
| 1457871295 | Wilma Cotto Psc | Internal Medicine | Carimed Plaza B-1, Suite 203 Calle Santa Cruz, Bayamon, PR 00961 | 2017-06-22 |
| 1699192765 | Carlos J Fernandez-cruz | Internal Medicine | Instituto San Pablo 66 Calle Santa Cruz, Suite 201-b, Bayamon, PR 00960-6036 | 2014-03-26 |
| 1730439886 | Dr. Jaca Montijo Csp | Internal Medicine | Metromedical, Suite 903, Bayamon, PR 00959-5065 | 2012-09-17 |
| 1316233885 | Dr Ricardo J Arroyo Arroyo Csp | Internal Medicine | Calle Santa Cruz # 68 Torre San Pablo, Suite 803-a, Bayamon, PR 00959 | 2011-06-23 |
| 1174841449 | Ignacio Jaca Montijo, Csp | Internal Medicine | Metro Medical Center 1995 . #2 St, Bayamon, PR 00959 | 2010-05-12 |
| 1215123161 | Roberto Enrique Osorio Manotas | Internal Medicine | Paseo San Pablo #100 Edif Arturo Cadilla Suite 501, Bayamon, PR 00961 | 2007-09-24 |
| 1235320086 | Wilma L Cotto Oyola | Internal Medicine | Calle Santa Cruz, Edif. Medico Santa Cruz #73, Suite 213, Bayamon, PR 00961-7052 | 2007-08-07 |
| 1811023252 | Clinica De Gastroenterologia | Internal Medicine | #73 Santa Cruz St. Ste 215, Santa Cruz Medical Building, Bayamon, PR 00961-6910 | 2007-02-27 |
| Find all providers in BAYAMON | ||||
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| 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.