Innovative Gastroenterology, Psc
NPI #1124315809 in Rio Grande, Puerto Rico
Provider Information
- NPI Number
- 1124315809
- Entity Type
- Organization
- Organization Name
- Innovative Gastroenterology, Psc
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Jul 1, 2011
- Last Updated
- Jul 1, 2011
Practice Location
- Address
- A1 AVE AGUSTIN PEREZ ANDINO
- Address 2
- VILLAS DE RIO GRANDE
- City
- Rio Grande
- State
- Puerto Rico
- ZIP Code
- 00745-3000
- Phone
- (787) 657-8543
Authorized Official
- Name
- DR. ROBERTO ENRIQUE MERA-LASTRA, M.D.
- Title
- PRESIDENT
- Phone
- (787) 657-8543
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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