Innovative Gastroenterology, Psc

NPI 1124315809 - Internal Medicine - 207RG0100X

NPI Details
NPI 1124315809
Enumeration Date 07/01/2011
Last Updated 07/01/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ROBERTO ENRIQUE ROBERTO
Position PRESIDENT
Phone (787) 657-8543
Fax (787) 657-8807
Practice Location
A1 AVE AGUSTIN PEREZ ANDINO
VILLAS DE RIO GRANDE
RIO GRANDE PR, 00745-3000, US
Phone (787) 657-8543
Fax (787) 657-8807
Business Location
PO BOX 3017
RIO GRANDE PR, 00745-3017, US
Phone (787) 657-8543
Fax (787) 657-8807
Toxanomy
Taxonomy Code 207RG0100X
License State Puerto Rico
License Number 15354
Remove 1124315809 NPI Number
 

According to our database, Innovative Gastroenterology, Psc NPI is 1124315809, taxonomy code is 207RG0100X and license number is 15354, license state is located at Puerto Rico. Innovative Gastroenterology, Psc physically located at A1 Ave Agustin Perez Andino, Rio Grande PR, 00745-3000. NPI Number 1033115704 has the healthcare provider type.

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1124315809 NPI number is provided on an as is basis without warranty of any kind. 1124315809 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Gastroenterology, Psc are for informational purposes only.