Organization · NPI-2

Advanced Gastroenterology, Psc

Internal Medicine, Gastroenterology · Bayamon, PR

NPI number1164720975
StatusActive
Last updated in NPPESFeb 14, 2024

Details

NPI
1164720975
Entity type
Organization (NPI-2)
Legal business name
Advanced Gastroenterology, Psc
Organization subpart
No
Enumeration date
Mar 2, 2011
Certification date
Feb 14, 2024
Last updated
Feb 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology––Yes
207RR0500X Internal Medicine, Rheumatology––

Practice location

68 Calle Santa Cruz
Torre San Pablo Suite 803b
Bayamon, PR 00961-7031

Phone 787-288-6998

Mailing address

68 Calle Santa Cruz
Torre San Pablo Suite 803b
Bayamon, PR 00961-7031

Phone 787-288-6998

Authorized official

Ramon M Rullan
President
7872886998

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