DR. JACA MONTIJO CSP (NPI# 1730439886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730439886 |
| Entity Type | Organization |
| Organization Name | DR. JACA MONTIJO CSP |
| Other Organization Name | INSTITUTO DE GASTROENTEROLOGIA AVANZADA |
| Practice Address |
Metromedical Suite 903 Bayamon PR 00959-5065 |
| Mailing Address |
1995 Carr 2 Ste 2903 Bayamon PR 00959-5062 |
| Practice Telephone | 7879357500 |
| Practice Fax Number | 7873957501 |
| Mailing Telephone | 7873957500 |
| Mailing Fax Number | 7873957501 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | DR. IGNACIO JACA (PRESIDENT) |
| Authorized Official Telephone | 7875595212 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
13094 | PR | Allopathic & Osteopathic Physicians |
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
13094 | PR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | HY226A | 05 |
| Other Name | Type Code |
|---|---|
| INSTITUTO DE GASTROENTEROLOGIA AVANZADA | Doing Business As Name - Organization |
| Street Address |
METROMEDICAL SUITE 903 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00959-5065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565134 | Paola B Fernandez Molinary | Student in an Organized Health Care Education/Training Program | Alborada, El Condominio, 1225, Apartment 2232, Bayamon, PR 00959 | 2020-10-15 |
| 1588261150 | Moraima Rivera Rosado | Specialist | C-5 B-11, Urb. Riberas Del Rio, Bayamon, PR 00959 | 2020-10-06 |
| 1902413990 | Lourdes Marie Davila | General Practice | Urb Extension Forest Hills, Calle Uruguay U 684, Bayamon, PR 00959 | 2020-09-24 |
| 1568074367 | Yanira Perez Nieves | Counselor | Bloque 10 Num. 17 Ave. Aguas Buenas, Edificio 1917 Suite 4, Bayamon, PR 00959 | 2020-08-21 |
| 1689290793 | Metro Pavia Healthcare Centers | Clinic/Center | Carr 167 Urb Bella Vista Marginal Ad-10, Bayamon, PR 00959 | 2020-06-24 |
| 1346864055 | Alma Iris Berrios | Pharmacy | Bo. Hato Tejas, Carr.862 K.m. 1.9, Bayamon, PR 00959 | 2020-05-29 |
| 1437779907 | Precise Radiosurgery Solutions Psc | Radiology | Ext Hnas Davila Marginal Carr #2 Esq 3b, Edificio 1955 Suite G1, Bayamon, PR 00959 | 2020-04-24 |
| 1649809260 | Kathy A. Caraballo Rivera,psc | Family Medicine | Bayamon Medical Center, Carr #2 Km 11.7, Bayamon, PR 00959 | 2020-04-06 |
| 1841826617 | Maidalidys Alcocer | Student in an Organized Health Care Education/Training Program | Urb. Santa Rosa Calle 19 21-13, Bayamon, PR 00959 | 2020-03-12 |
| 1245864081 | Raquel Ivelisse Lopez Crespo | Psychologist | Urb Santa Rosa Blq 51 #62, Marginal Carr #2, Bayamon, PR 00959 | 2020-03-02 |
| Find all providers in zip 00959 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588040281 | Melendez Gastroenterology Institute, LLC | Clinic/Center | 4246 Carretera 2 Km 43, Vega Baja, PR 00693-4128 | 2015-08-04 |
| 1619394038 | Gastro-centro Norte Psc | Clinic/Center | Carr #10 Km 85.7 Edif D Suite 5 Bo. Tanama, Arecibo, PR 00613 | 2014-03-24 |
| 1063843035 | Ashford Gastroenterology Services | Clinic/Center | 29 Calle Washington Ste 506, San Juan, PR 00907-1521 | 2013-12-02 |
| 1689003576 | Advanced Gastroenterology Center, Psc | Clinic/Center | Carr 115 Km 24.1, Aguada, PR 00602 | 2013-11-01 |
| 1407289473 | Advanced Gastroenterology Center | Clinic/Center | Carr 115 Km 24.5, Bo Asomante, Aguada, PR 00602 | 2013-08-14 |
| 1316384100 | Gastrointestinal Diagnostic Clinic of Pr, LLC | Clinic/Center | Calle Sgto. Hernandez Carrion, Mmc Professional Plaza, Suite 307, Manati, PR 00674 | 2013-06-03 |
| 1740624329 | Gastro Centro PCs | Clinic/Center | Torre Del Metropolitano 1789 Suite 209 Carr. 21, San Juan, PR 00921 | 2013-04-25 |
| 1205127032 | Advanced Endoscopy Center Psc | Clinic/Center | 2225 Ponce Byp Ste 806, 2225 Ponce By Pass, Ponce, PR 00717-1379 | 2011-04-27 |
| 1053550525 | Gastroenterology & Hepatic Wellness, Psc | Clinic/Center | 1431 Ponce De Leon, Suite 402, San Juan, PR 00907-4033 | 2009-02-06 |
| 1407091036 | Centro De Endoscopia Avanzada Del Caribe Inc. | Clinic/Center | De Diego St. 55 East, Cpr Professional Bldg. Suite 104, Mayaguez, PR 00681 | 2008-12-11 |
| Find all providers with the same taxonomy | ||||
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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.