Provider Demographics
NPI:1871101295
Name:REMA GASTROENTEROLOGY OF PUERTO RICO PSC
Entity type:Organization
Organization Name:REMA GASTROENTEROLOGY OF PUERTO RICO PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GASTROENTROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REINALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ AMILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-428-5714
Mailing Address - Street 1:PO BOX 7021
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7021
Mailing Address - Country:US
Mailing Address - Phone:787-428-5714
Mailing Address - Fax:
Practice Address - Street 1:619 AVE LA CEIBA
Practice Address - Street 2:SUITE 303 ROVIRA OFFICE PARK
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-679-7678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR19981OtherLICENSE