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Contact Information

GRUPO SAN MATEO, LLC
1607 AVE PONCE DE LEON STE GM04
SAN JUAN, PR00909-1803
 Phone: 787-910-0909
 Fax: 888-588-0319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Infusion Therapy

261QI0500X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nutritionist

133N00000X
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for GRUPO SAN MATEO LLC · (Female)

NPI # 1295293991
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2019
Last updated 03/15/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • PR Medicaid 037891301
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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