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Grupo San Mateo, LLC

NPI 1295293991ActiveOrganization· Internal Medicine, Gastroenterology· San Juan, PR

Internal Medicine, Gastroenterology in San Juan, Puerto Rico, registered in NPPES in March 2019. The authorized official on file is Vasco Eguia, MD, President Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1295293991
StatusActive
Entity typeOrganization
NPI issuedMar 12, 2019
Last updated in NPPESMar 15, 2023
Certified by providerMar 15, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine, Gastroenterology Primary207RG0100X——
Nutritionist133N00000X——
Dietitian, Registered133V00000X——
Family Medicine207Q00000X——
Internal Medicine207R00000X——
Pediatrics, Pediatric Gastroenterology2080P0206X——
General Practice208D00000X——
Speech-Language Pathologist235Z00000X——
Clinic/Center, Infusion Therapy261QI0500X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (PR)

Medicare sources and data years

Other Internal Medicine, Gastroenterology providers in San Juan

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