NEURO GI WELLNESS CENTRE PSC NPI 1053455014

NPI Information

  • NPI: 1053455014
  • Provider Name: NEURO GI WELLNESS CENTRE PSC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 200 AVE WINSTON CHURCHILL STE 201
    SAN JUAN, PR
    ZIP 00926
  • Phone: (787) 283-0804

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NPI Details

NEURO GI WELLNESS CENTRE PSC is a gastroenterology internal medicine in San Juan, PR. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. NEURO GI WELLNESS CENTRE PSC NPI is 1053455014. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 AVE WINSTON CHURCHILL STE 201
SAN JUAN, PR
ZIP 00926-655
Phone: (787) 283-0804
Fax: (787) 761-5764

The provider's authorized official is Henry Gonzalez-rivera .
The authorized official title is President and has the following contact phone number (787) 283-0804.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 9/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology12,865PUERTO RICONo
2207RG0100XInternal MedicineGastroenterology12865PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10090340MEDICARE PINPUERTO RICO
290340MEDICARE PINPUERTO RICO
3H90400MEDICARE UPINPUERTO RICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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