Gastro Med Del Sur, P.s.c.

NPI #1245231497 in Ponce, Puerto Rico

Provider Information

NPI Number: 1245231497
Entity Type: Organization
Organization Name: Gastro Med Del Sur, P.s.c.
Primary Specialty: Specialist
Enumeration Date: Aug 9, 2005
Last Updated: Dec 29, 2008

Practice Location

Address: 909 AVE. TITO CASTRO SUITE 518
Address 2: TORRE MEDICA SAN LUCAS
City: Ponce
State: Puerto Rico
ZIP Code: 00716-4721
Phone: (787) 290-2948

Authorized Official

Name: MRS. CARMEN L. SANTIAGO, M.D.
Title: PRESIDENT
Phone: (787) 290-2948

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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