Provider Demographics
NPI:1992790133
Name:GASTROENTEROLOGY CENTRE C.S.P.
Entity type:Organization
Organization Name:GASTROENTEROLOGY CENTRE C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGO ZAMBRANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-866-3675
Mailing Address - Street 1:A3 AVE PEDRO ALBIZU CAMPOS
Mailing Address - Street 2:VILLA ROSA III
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784-6407
Mailing Address - Country:US
Mailing Address - Phone:787-866-3675
Mailing Address - Fax:787-866-1249
Practice Address - Street 1:A3 AVE PEDRO ALBIZU CAMPOS
Practice Address - Street 2:VILLA ROSA III
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-6407
Practice Address - Country:US
Practice Address - Phone:787-866-3675
Practice Address - Fax:787-866-1249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-14
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty