EG PEDS GASTRO – NPI #1700500063
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Health Care Provider Taxonomy Code for Pediatrics

EG PEDS GASTRO is a provider located in BAYAMON, PR. NPPES has assigned the NPI number 1700500063 to EG PEDS GASTRO on September 30, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

The NPI profile was previously updated about 3 years ago on Mar 30, 2023. 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 EG PEDS GASTRO below.

NPI Profile for
EG PEDS GASTRO

NPI Number
1700500063
Enumeration Date

(more than 3 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
EG PEDS GASTRO
Primary location
BAYAMON MEDICAL PLAZA
PR WOMEN'S AND CHILDREN'S HOSPITAL CARR 2 KM 11.7
BAYAMON, PR 00959
Phone: (787) 466-8762 Fax:
Mailing address
PO BOX 193307
SAN JUAN, PR 00919-3307
Phone: (787) 466-8762 Fax:
Organization Subpart
No
Authorized Official
ESTHERMARI GONZALEZ POLANCO
PRESIDENT
Phone: (787) 407-7569
Updated
Certification Date
Mar 30, 2023

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.

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
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)

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.