Healthcare Provider Details

I. General information

NPI: 1962325944
Provider Name (Legal Business Name): NOVA GI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1449 CALLE AMERICO SALAS STE 103
SAN JUAN PR
00909-2104
US

IV. Provider business mailing address

690 CALLE CESAR GONZALEZ APT 810
SAN JUAN PR
00918-3909
US

V. Phone/Fax

Practice location:
  • Phone: 787-722-1717
  • Fax: 787-723-1595
Mailing address:
  • Phone: 787-428-2836
  • Fax: 787-723-1595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: NATALIA P HERNANDEZ CUEVAS
Title or Position: OWNER
Credential: MD
Phone: 787-428-2836