Provider Demographics
NPI:1114558640
Name:GASTROENTEROLOGOS ASOCIADOS DE PUERTO RICO PSC
Entity Type:Organization
Organization Name:GASTROENTEROLOGOS ASOCIADOS DE PUERTO RICO PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMOT CARMONA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-299-4972
Mailing Address - Street 1:PMB 198 1357 AVE. ASHFORD
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1400
Mailing Address - Country:US
Mailing Address - Phone:787-625-2489
Mailing Address - Fax:
Practice Address - Street 1:CALLE 2 J-13
Practice Address - Street 2:EXTENSION HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-0001
Practice Address - Country:US
Practice Address - Phone:787-625-2489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty