Innovative Gastroenterology, Psc
NPI 1124315809 · Gastroenterology Physician · Rio Grande, PR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Gastroenterology, Psc is a Gastroenterology Physician organization in Rio Grande, PR (NPI 1124315809).
Provider details
- NPI number
- 1124315809
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roberto Mera-Lastra, President(787) 657-8543
- License
- 15354 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-01
- Last updated
- 2011-07-01
Frequently asked questions
- What is Innovative Gastroenterology, Psc's NPI number?
- Innovative Gastroenterology, Psc's National Provider Identifier (NPI) is 1124315809, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Gastroenterology, Psc?
- Innovative Gastroenterology, Psc is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Gastroenterology, Psc located?
- Innovative Gastroenterology, Psc's practice location on file with NPPES is A1 Ave Agustin Perez Andino, Rio Grande, PR 00745-3000.
- What is Innovative Gastroenterology, Psc's phone number?
- The practice phone number listed in the NPPES registry for Innovative Gastroenterology, Psc is (787) 657-8543.
- Does Innovative Gastroenterology, Psc accept Medicare?
- Innovative Gastroenterology, Psc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Gastroenterology, Psc?
- The authorized official listed on Innovative Gastroenterology, Psc's NPPES record is Roberto Mera-Lastra, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Gastroenterology, Psc's NPI active?
- Yes — Innovative Gastroenterology, Psc's NPI (1124315809) is active in the NPPES registry as of the last update on 2011-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.