Provider Demographics
NPI:1942697727
Name:RS GASTROENTEROLOGY, LLC
Entity Type:Organization
Organization Name:RS GASTROENTEROLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:SOJO-ALTIERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-884-7218
Mailing Address - Street 1:COND LA CORUNA CARR 177
Mailing Address - Street 2:APT. 2503
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-884-7218
Mailing Address - Fax:787-761-5764
Practice Address - Street 1:COND LA CORUNA CARR 177
Practice Address - Street 2:APT 2503
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-884-7218
Practice Address - Fax:787-761-5764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17927207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR17927OtherMEDICAL LICENCE
PRHV485AMedicare UPIN