SOUTHEAST GASTROENTEROLOGY PSC – NPI #1750758009
Internal Medicine

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.

SOUTHEAST GASTROENTEROLOGY PSC is a provider located in GUAYAMA, PR. NPPES has assigned the NPI number 1750758009 to SOUTHEAST GASTROENTEROLOGY PSC on August 21, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was last updated on Feb 19, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEAST GASTROENTEROLOGY PSC below.

NPI Profile for
SOUTHEAST GASTROENTEROLOGY PSC

NPI Number
1750758009
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEAST GASTROENTEROLOGY PSC
Primary location
222B CALLE 4
URB VIVES
GUAYAMA, PR 00784
Phone: (787) 866-4005 Fax: (787) 866-4072
Mailing address
PO BOX 510
GUAYAMA, PR 00785-0510
Phone: (787) 866-4005 Fax: (787) 866-4072
Organization Subpart
No
Authorized Official
JOEL DE JESUS
PRESIDENT
Phone: (939) 639-5839
Updated
Certification Date
Feb 19, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTHEAST GASTROENTEROLOGY PSC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNPIPR1821061383
medicaidPR037895300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
PR 14017

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.