1033261862 NPI number — SOUTHERN GASTROENTEROLOGY MEDICAL GROUP, PSC

Table of content: (NPI 1033261862)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033261862 NPI number — SOUTHERN GASTROENTEROLOGY MEDICAL GROUP, PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHERN GASTROENTEROLOGY MEDICAL GROUP, PSC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033261862
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7183
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00732-7183
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-843-0348
Provider Business Mailing Address Fax Number:
787-840-8623

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7810 CALLE NAZARET
Provider Second Line Business Practice Location Address:
URB SANTA MARIA
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00717-1008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-843-0348
Provider Business Practice Location Address Fax Number:
787-840-8623
Provider Enumeration Date:
01/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NIEVES
Authorized Official First Name:
ARNALDO
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-843-0348

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  12225 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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