Southern Gastroenterology Medical Group, Psc

NPI #1033261862 in Ponce, Puerto Rico

Provider Information

NPI Number: 1033261862
Entity Type: Organization
Organization Name: Southern Gastroenterology Medical Group, Psc
Primary Specialty: Specialist
Enumeration Date: Jan 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 7810 CALLE NAZARET
Address 2: URB SANTA MARIA
City: Ponce
State: Puerto Rico
ZIP Code: 00717-1008
Phone: (787) 843-0348

Authorized Official

Name: DR. ARNALDO M NIEVES, M.D.
Title: PRESIDENT
Phone: (787) 843-0348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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