Grupo San Mateo, Llc

LBN: Grupo San Mateo, Llc
Grupo San Mateo, Llc is an health care organization with primary practice located at 1607 Ave Ponce De Leon Ste Gm04 , San Juan PR 00909-1803. The organization recently has 9 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / General Practice, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Infusion Therapy. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty. Grupo San Mateo, Llc can be contacted via phone (787) 910-0909, or through Eguia, Vasco via phone (787) 633-5263.

Contact Information

Primary practice address
1607 Ave Ponce De Leon Ste Gm04 San Juan PR 00909-1803
Phone: (787) 910-0909
Fax: (888) 588-0319
Website:
Map and Directions
Authorized official contact:
Name: Eguia, Vasco Doctor of Medicine (MD)
Phone: (787) 633-5263

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1295293991
LBN Legal business name Grupo San Mateo, Llc
DBA Doing business as
Authorized official Eguia, Vasco Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2019
Last updated Mar 15th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295293991 NPPES
Puerto Rico MEDICAID 037891301

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