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SOUTHEAST GASTROENTEROLOGY PSC
NPI 1750758009
Internal Medicine - Gastroenterology in Guayama, PR

Active since August 21, 2015
222B CALLE 4, URB VIVES, GUAYAMA, PR 00784(787) 866-4005(787) 866-4072 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southeast Gastroenterology Psc NPPES

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

SOUTHEAST GASTROENTEROLOGY PSC (NPI 1750758009) is a healthcare organization registered as a gastroenterology in Guayama, Puerto Rico and active in the NPI registry since August 2015. The organization lists Joel Javier De Jesus, President, as its authorized official.

NPPES Registry Identity

NPI1750758009
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSOUTHEAST GASTROENTEROLOGY PSC
Location Address222B CALLE 4, URB VIVESGuayama, PR 00784
Mailing AddressPo Box 510Guayama, PR 00785-0510 · (787) 866-4005 · Fax (787) 866-4072
Phone(787) 866-4005
Fax(787) 866-4072
Organization SubpartNo
Authorized OfficialJoel Javier De JesusPresident · (939) 639-5839
Enumeration DateAugust 21, 2015
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1750758009 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 · 14017
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.

Other Identifiers 2

Other1821061383PR · Npi
Medicaid037895300PR

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)

Southeast 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 Southeast Gastroenterology Psc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joel De Jesus, MD
Gastroenterology
NPI 1821061383
MARGINAL AVE. PEDRO ALBIZU CAMPOS 222 URB VIVES CALLE 4
Guayama, PR 00784
(787) 866-4005
✔ PECOS✔ Accepts Medicare

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 Southeast Gastroenterology Psc's NPI number?

The NPI number for Southeast Gastroenterology Psc is 1750758009. It was assigned to this organization in the NPPES registry on August 21, 2015.

Where is Southeast Gastroenterology Psc located?

Southeast Gastroenterology Psc is located at 222B Calle 4 Urb Vives, Guayama, PR 00784. The listed phone number is (787) 866-4005.

What is Southeast Gastroenterology Psc's specialty?

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

Is Southeast Gastroenterology Psc enrolled in Medicare?

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

How many clinicians bill Medicare through Southeast Gastroenterology Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Southeast 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 Southeast Gastroenterology Psc was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.