Provider Demographics
NPI:1841206679
Name:INSTITUTO DE GASTROENTEROLOGIA
Entity Type:Organization
Organization Name:INSTITUTO DE GASTROENTEROLOGIA
Other - Org Name:SOCIEDAD MONAGAS & BAEZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:C
Authorized Official - Last Name:MONAGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-834-8641
Mailing Address - Street 1:PO BOX 2061
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-2061
Mailing Address - Country:US
Mailing Address - Phone:787-834-8641
Mailing Address - Fax:787-265-4100
Practice Address - Street 1:55 CALLE MEDITACION
Practice Address - Street 2:SUITE 6 A
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4882
Practice Address - Country:US
Practice Address - Phone:787-834-8641
Practice Address - Fax:787-265-4100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6076207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty