National Provider Identifier Database

GRUPO SAN MATEO LLC
Gastroenterology

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.


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
* Gastroenterology 207RG0100X
Dietitian, Registered 133V00000X
Family Medicine 207Q00000X
General Practice 208D00000X
Infusion Therapy 261QI0500X
Internal Medicine 207R00000X
Nutritionist 133N00000X
Pediatric Gastroenterology 2080P0206X
Speech-Language Pathologist 235Z00000X

* Indicates primary specialty

NPI Profile & details for GRUPO SAN MATEO, LLC

NPI Number 1295293991
Legal business name
LBN
GRUPO SAN MATEO, LLC
Authorized official VASCO EGUIA - (PRESIDENT OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/12/2019
Last updated 03/15/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • PR Medicaid: 037891301

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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