1. Home
  2. Directory
  3. NPI Profile

INNOVATIVE GASTROENTEROLOGY, PSC
NPI 1124315809
Internal Medicine - Gastroenterology in Rio Grande, PR

Active since July 01, 2011
A1 AVE AGUSTIN PEREZ ANDINO, VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745(787) 657-8543(787) 657-8807 Get Directions Write a Review

NPPES record last updated: July 1, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Innovative Gastroenterology, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE GASTROENTEROLOGY, PSC (NPI 1124315809) is a healthcare organization registered as a gastroenterology in Rio Grande, Puerto Rico and active in the NPI registry since July 2011. The organization lists Roberto Enrique Mera-lastra, President, as its authorized official.

NPPES Registry Identity

NPI1124315809
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameINNOVATIVE GASTROENTEROLOGY, PSC
Location AddressA1 AVE AGUSTIN PEREZ ANDINO, VILLAS DE RIO GRANDERio Grande, PR 00745-3000
Mailing AddressPo Box 3017Rio Grande, PR 00745-3017 · (787) 657-8543 · Fax (787) 657-8807
Phone(787) 657-8543
Fax(787) 657-8807
Organization SubpartNo
Authorized OfficialRoberto Enrique Mera-lastraPresident · (787) 657-8543
Enumeration DateJuly 1, 2011
✔ NPI 1124315809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PR · 15354
Definition
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.
A1 AVE AGUSTIN PEREZ ANDINO, Rio Grande, PR 00745
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Gastroenterology, Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Innovative Gastroenterology, Psc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roberto Mera-Lastra, M.D.
Gastroenterology
NPI 1407812381
A1 AVE AGUSTIN PEREZ ANDINO VILLAS DE RIO GRANDE
Rio Grande, PR 00745
(787) 657-8543
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Gastroenterology, Psc's NPI number?

The NPI number for Innovative Gastroenterology, Psc is 1124315809. It was assigned to this organization in the NPPES registry on July 1, 2011.

Where is Innovative Gastroenterology, Psc located?

Innovative Gastroenterology, Psc is located at A1 Ave Agustin Perez Andino Villas De Rio Grande, Rio Grande, PR 00745. The listed phone number is (787) 657-8543.

What is Innovative Gastroenterology, Psc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Innovative Gastroenterology, Psc enrolled in Medicare?

Yes. Innovative Gastroenterology, Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Gastroenterology, Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Innovative Gastroenterology, Psc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovative Gastroenterology, Psc was last updated on July 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.