Provider Demographics
NPI:1982831970
Name:AR INSTITUTE OF GASTROENTEROLOGY P S C
Entity Type:Organization
Organization Name:AR INSTITUTE OF GASTROENTEROLOGY P S C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:
Authorized Official - Last Name:REYMUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-259-8212
Mailing Address - Street 1:PO BOX 334069
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-4069
Mailing Address - Country:US
Mailing Address - Phone:787-259-8212
Mailing Address - Fax:787-848-7979
Practice Address - Street 1:2225 PONCE BY PASS
Practice Address - Street 2:EDIFICIO PARRA SUITE 806
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-259-8212
Practice Address - Fax:787-848-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherEMPLOYER SOCIAL SECURITY NO