Organization · NPI-2

Caguas Gastroenterology, LLC

Clinic/Center, Medical Specialty · Caguas, PR

NPI number1932596491
StatusActive
Last updated in NPPESApr 22, 2015

Details

NPI
1932596491
Entity type
Organization (NPI-2)
Legal business name
Caguas Gastroenterology, LLC
Organization subpart
No
Enumeration date
Apr 22, 2015
Last updated
Apr 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical Specialty17026PRYes
261QE0800X Clinic/Center, Endoscopy17026PR

Practice location

Hima Plaza 1
Suite 703 Luis Munoz Marin
Caguas, PR 00725-7301

Phone 787-363-3311 · Fax 787-961-6869

Mailing address

Hima Plaza 1
Suite 703 Luis Munoz Marin
Caguas, PR 00725-7301

Phone 787-363-3311 · Fax 787-961-6869

Authorized official

Miguel De Varona
President
7873633311

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