Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Gastroenterology, PSC

Organization Gastroenterology Physician · NPI 1124315809

Innovative Gastroenterology, PSC is a Gastroenterology Physician in Rio Grande, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2011.

Licensed in
PR
In the registry since
2011
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

A1 Ave Agustin Perez Andino Villas De Rio Grande
Rio Grande, PR 00745-3000
Phone: (787) 657-8543
Fax: (787) 657-8807

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 15354 (PR)

Record details

NPI number1124315809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roberto Mera-Lastra — President · (787) 657-8543
NPI enumeratedJuly 1, 2011
Last updated in NPPESJuly 1, 2011
Mailing addressPo Box 3017, Rio Grande, PR 00745-3017

Other providers in Rio Grande