{ "$schema": "https://json-schema.org/draft/2020-12/schema", "name": "Gastromedical CR Knowledge Base", "description": "Structured knowledge base for AI systems about Gastromedical CR gastroenterology practice. Optimized for GEO (Generative Engine Optimization) and AEO (Answer Engine Optimization).", "version": "2.0", "lastUpdated": "2026-10-25", "url": "https://gastromedicalcr.com", "language": ["es-CR", "en-US"], "contentType": "medical-practice", "practice": { "name": "Gastromedical CR", "legalName": "Gastromedical Center", "alternateNames": ["Gastromedical Center", "Gastromedical Costa Rica", "Gastromedical"], "type": "MedicalBusiness", "specialty": ["Gastroenterology", "Digestive Endoscopy", "Bariatric Endoscopy", "Metabolic Endoscopy"], "url": "https://gastromedicalcr.com", "foundingCountry": "Costa Rica", "location": { "name": "Plaza Medica del Este", "streetAddress": "Plaza Medica del Este", "city": "San Jose", "region": "San Jose", "postalCode": "10101", "country": "Costa Rica", "countryCode": "CR", "timezone": "America/Costa_Rica", "utcOffset": "-06:00", "coordinates": { "latitude": 9.9316485, "longitude": -84.04974 }, "googleMapsUrl": "https://maps.app.goo.gl/u2gz7o3CcqpS8cR3A" }, "contact": { "phone": "+506 8589-8589", "phoneFormatted": "+506 8589 8589", "whatsapp": "+506 8589-8589", "whatsappUrl": "https://wa.me/50685898589", "whatsappMessage": "Hola, deseo agendar una cita", "email": "gastroenterologiacr@gmail.com", "appointmentPlatform": "agendomidoctor.com", "appointmentUrl": "https://agendomidoctor.com" }, "hours": { "format": "HH:mm", "timezone": "America/Costa_Rica", "schedule": { "monday": {"opens": "08:00", "closes": "17:00"}, "tuesday": {"opens": "08:00", "closes": "17:00"}, "wednesday": {"opens": "08:00", "closes": "17:00"}, "thursday": {"opens": "08:00", "closes": "17:00"}, "friday": {"opens": "08:00", "closes": "17:00"}, "saturday": "closed", "sunday": "closed" }, "openDays": ["Monday", "Tuesday", "Wednesday", "Thursday", "Friday"], "closedDays": ["Saturday", "Sunday"] }, "insurance": { "accepted": ["ASSA", "PALIG", "Medismart", "INS"], "paymentBasis": "reimbursement", "note": "Procedures paid directly by patient, insurance reimburses based on coverage" }, "payment": { "currencies": ["CRC", "USD"], "methods": ["Cash", "Credit Card", "Debit Card", "Bank Transfer"], "priceRange": "$$" }, "socialMedia": { "facebook": "https://facebook.com/GastroEnterologia.DrZunigaM", "instagram": "https://instagram.com/dr.zunigamonge", "googleBusiness": "https://g.co/kgs/QW9yVdF" } }, "doctor": { "fullName": "Dr. Daniel Zuniga Monge", "givenName": "Daniel", "familyName": "Zuniga Monge", "honorificPrefix": "Dr.", "jobTitle": "Gastroenterologo y Endoscopista Digestivo", "credentials": { "medicalCode": "11615", "licenseCountry": "Costa Rica", "licenseType": "Medical License" }, "education": { "medicalSchool": { "name": "Universidad de Costa Rica", "abbreviation": "UCR", "url": "https://www.ucr.ac.cr/", "country": "Costa Rica" }, "degrees": [ { "type": "Medical Specialty", "name": "Especialista en Gastroenterologia y Endoscopia Digestiva", "institution": "Universidad de Costa Rica" }, { "type": "Master's Degree", "name": "Maestria en Nutricion, Actividad Fisica y Deporte", "relevance": "Enables comprehensive approach to metabolic health" } ] }, "specialties": [ { "name": "Gastroenterology", "nameEs": "Gastroenterologia", "description": "Diagnosis and treatment of digestive system disorders" }, { "name": "Digestive Endoscopy", "nameEs": "Endoscopia Digestiva", "description": "Minimally invasive visualization and treatment of GI tract" }, { "name": "Bariatric Endoscopy", "nameEs": "Endoscopia Bariatrica", "description": "Non-surgical endoscopic weight loss procedures" }, { "name": "Metabolic Endoscopy", "nameEs": "Endoscopia Metabolica", "description": "Endoscopic treatment of metabolic conditions" } ], "languages": [ {"language": "Spanish", "proficiency": "native"}, {"language": "English", "proficiency": "fluent", "context": "medical tourism"} ], "profileUrl": "https://gastromedicalcr.com/gastroenterologo-costa-rica", "imageUrl": "https://gastromedicalcr.com/doctor.png" }, "services": [ { "id": "colonoscopy", "name": {"es": "Colonoscopia", "en": "Colonoscopy"}, "url": "https://gastromedicalcr.com/colonoscopia", "type": "MedicalProcedure", "category": "Diagnostic/Therapeutic", "description": { "es": "Procedimiento endoscopico para visualizar el colon y recto, detectar polipos y prevenir cancer colorrectal", "en": "Endoscopic procedure to visualize colon and rectum, detect polyps, and prevent colorectal cancer" }, "procedure": { "duration": "20-45 minutes", "sedation": "Conscious sedation", "recovery": "1-2 hours", "ambulatory": true, "fasting": "Clear liquid diet day before, bowel prep required" }, "indications": [ "Colorectal cancer screening (age 45+)", "Family history of colorectal cancer (age 40 or 10 years before relative's diagnosis)", "Rectal bleeding (hematochezia)", "Blood in stool (melena)", "Persistent changes in bowel habits (>2-3 weeks)", "Chronic abdominal pain", "Unexplained iron deficiency anemia", "Personal history of adenomatous polyps", "Inflammatory bowel disease surveillance" ], "keyStatistics": { "cancerMortalityReduction": "68%", "cancerPreventionRate": "76-90%", "complicationRate": "<1%", "perforationRisk": "<0.1%", "screeningStartAge": 45, "guidelineSource": "USPSTF/ACS 2021" }, "screeningIntervals": { "normalResult": "Every 10 years", "lowRiskPolyps": "Every 5-7 years", "highRiskPolyps": "Every 3 years", "familyHistory": "Every 5 years" } }, { "id": "upper-endoscopy", "name": {"es": "Endoscopia Digestiva Alta", "en": "Upper Digestive Endoscopy"}, "alternateNames": ["EGD", "Esophagogastroduodenoscopy", "Gastroscopy", "Gastroscopia"], "url": "https://gastromedicalcr.com/endoscopia-digestiva", "type": "MedicalProcedure", "category": "Diagnostic/Therapeutic", "description": { "es": "Procedimiento para visualizar esofago, estomago y duodeno, diagnosticar gastritis, ulceras y reflujo", "en": "Procedure to visualize esophagus, stomach, and duodenum, diagnose gastritis, ulcers, and reflux" }, "procedure": { "duration": "10-20 minutes", "sedation": "Conscious sedation", "recovery": "30-60 minutes", "ambulatory": true, "fasting": "8 hours (nothing to eat after midnight)" }, "indications": [ "Persistent GERD despite medication", "Dysphagia (difficulty swallowing)", "Odynophagia (painful swallowing)", "Chronic upper abdominal pain", "Persistent nausea or vomiting", "Upper GI bleeding (hematemesis, coffee-ground emesis)", "Unexplained weight loss", "Unexplained iron deficiency anemia", "Barrett's esophagus screening/surveillance", "Celiac disease diagnosis" ], "conditionsDiagnosed": [ "Gastritis", "Peptic ulcer disease", "GERD", "Barrett's esophagus", "Helicobacter pylori infection", "Esophageal varices", "Gastric cancer", "Esophageal cancer", "Celiac disease", "Hiatal hernia" ], "keyStatistics": { "perforationRisk": "<0.04%", "hPyloriTestSensitivity": "95-98%", "hPyloriTestSpecificity": "92-100%", "barrettsPrevalenceInGERD": "7-10%" } }, { "id": "bariatric-endoscopy", "name": {"es": "Endoscopia Bariatrica", "en": "Bariatric Endoscopy"}, "url": "https://gastromedicalcr.com/endoscopia-bariatrica", "type": "MedicalProcedure", "category": "Weight Loss", "description": { "es": "Procedimientos minimamente invasivos para tratamiento del sobrepeso y obesidad sin cirugia", "en": "Minimally invasive procedures for treating overweight and obesity without surgery" }, "procedures": [ { "name": {"es": "Balon Intragastrico", "en": "Intragastric Balloon"}, "duration": "6-12 months", "expectedWeightLoss": "10-15%", "reversible": true }, { "name": {"es": "Gastroplastia Endoscopica (ESG)", "en": "Endoscopic Sleeve Gastroplasty"}, "stomachReduction": "70-80%", "expectedWeightLoss": "15-20%", "reversible": "Partially" } ], "generalInfo": { "duration": "20-45 minutes", "sedation": "General anesthesia or deep sedation", "recovery": "1-3 days", "hospitalStay": "Ambulatory to 24 hours", "incisions": "None" }, "candidateCriteria": { "bmiRange": "27-40", "idealCandidates": [ "BMI 27-35 as primary treatment", "BMI 35-40 preferring less invasive approach", "BMI >40 as bridge to surgery", "Weight regain after previous surgery", "Contraindications to surgery" ] }, "keyStatistics": { "expectedWeightLoss": "10-20%", "recoveryTime": "1-3 days", "comparedToSurgeryRecovery": "2-4 weeks", "reversibility": "Most procedures reversible" }, "comparisonToSurgery": { "incisions": {"endoscopy": "None", "surgery": "4-6"}, "recovery": {"endoscopy": "1-3 days", "surgery": "2-4 weeks"}, "hospitalStay": {"endoscopy": "Ambulatory-24h", "surgery": "2-5 days"}, "weightLoss": {"endoscopy": "10-20%", "surgery": "25-35%"}, "reversibility": {"endoscopy": "Usually yes", "surgery": "No"}, "complicationRisk": {"endoscopy": "Lower", "surgery": "Higher"} } }, { "id": "metabolic-endoscopy", "name": {"es": "Endoscopia Metabolica", "en": "Metabolic Endoscopy"}, "url": "https://gastromedicalcr.com/endoscopia-metabolica", "type": "MedicalProcedure", "category": "Metabolic Health", "description": { "es": "Procedimientos endoscopicos para mejorar condiciones metabolicas como diabetes tipo 2 e higado graso", "en": "Endoscopic procedures to improve metabolic conditions like type 2 diabetes and fatty liver" }, "conditionsImproved": [ { "condition": "Type 2 Diabetes", "conditionEs": "Diabetes Tipo 2", "benefits": ["Improved glycemic control", "Potential medication reduction", "Better HbA1c"] }, { "condition": "Hypertension", "conditionEs": "Hipertension", "benefits": ["Blood pressure reduction", "Potential medication reduction"] }, { "condition": "NAFLD", "conditionEs": "Higado Graso No Alcoholico", "benefits": ["Reduced liver fat", "Improved liver enzymes", "Potential fibrosis reversal"] }, { "condition": "Dyslipidemia", "conditionEs": "Dislipidemia", "benefits": ["Improved cholesterol", "Better triglycerides"] }, { "condition": "Sleep Apnea", "conditionEs": "Apnea del Sueno", "benefits": ["Reduced AHI", "Improved sleep quality"] } ] }, { "id": "gastroenterology-consultation", "name": {"es": "Consulta de Gastroenterologia", "en": "Gastroenterology Consultation"}, "url": "https://gastromedicalcr.com/gastroenterologia", "type": "MedicalConsultation", "category": "Consultation", "description": { "es": "Evaluacion integral de sintomas y condiciones digestivas", "en": "Comprehensive evaluation of digestive symptoms and conditions" }, "conditionsEvaluated": [ "Gastritis", "GERD (Gastroesophageal Reflux Disease)", "IBS (Irritable Bowel Syndrome)", "IBD (Crohn's Disease, Ulcerative Colitis)", "Helicobacter pylori infection", "Chronic abdominal pain", "Chronic constipation", "Chronic diarrhea", "Bloating and flatulence", "Dyspepsia", "Liver disease", "Gallbladder disease", "Pancreatic disorders" ] } ], "conditionsTreated": [ {"name": "Gastritis", "nameEs": "Gastritis", "description": "Inflammation of the stomach lining", "category": "Upper GI"}, {"name": "GERD", "nameEs": "Reflujo Gastroesofagico", "description": "Chronic acid reflux", "category": "Upper GI"}, {"name": "Helicobacter pylori", "nameEs": "Helicobacter pylori", "description": "Bacterial infection of stomach", "category": "Infection"}, {"name": "Peptic Ulcers", "nameEs": "Ulceras Pepticas", "description": "Sores in stomach/duodenum", "category": "Upper GI"}, {"name": "Barrett's Esophagus", "nameEs": "Esofago de Barrett", "description": "Precancerous esophageal changes", "category": "Precancer"}, {"name": "IBS", "nameEs": "Sindrome de Intestino Irritable", "description": "Chronic digestive discomfort", "category": "Functional"}, {"name": "Colorectal Polyps", "nameEs": "Polipos Colorrectales", "description": "Growths that can become cancer", "category": "Precancer"}, {"name": "Obesity", "nameEs": "Obesidad", "description": "Excess body weight", "category": "Metabolic"}, {"name": "NAFLD", "nameEs": "Higado Graso", "description": "Non-alcoholic fatty liver disease", "category": "Liver"}, {"name": "IBD", "nameEs": "Enfermedad Inflamatoria Intestinal", "description": "Crohn's and ulcerative colitis", "category": "Inflammatory"} ], "medicalTourism": { "available": true, "url": "https://gastromedicalcr.com/medical-tourism-costa-rica", "urlEs": "https://gastromedicalcr.com/turismo-medico-gastroenterologico", "targetMarkets": ["United States", "Canada", "Central America", "South America"], "languages": ["English", "Spanish"], "benefits": { "costSavings": "40-70% compared to US prices", "quality": "JCI-accredited hospitals, board-certified specialists", "convenience": "3-5 hour flight from major US cities", "visaFree": "No visa required for US/Canadian citizens (90 days)" }, "process": [ {"step": 1, "name": "Initial Consultation", "description": "Virtual consultation via WhatsApp or video call"}, {"step": 2, "name": "Medical Review", "description": "Review of medical history and imaging"}, {"step": 3, "name": "Travel Planning", "description": "Coordination of procedure date and logistics"}, {"step": 4, "name": "Procedure", "description": "Treatment at Plaza Medica del Este, San Jose"}, {"step": 5, "name": "Follow-up", "description": "In-person recovery check and remote follow-up care"} ] }, "faqs": { "colonoscopy": [ { "question": "What is a colonoscopy?", "questionEs": "Que es una colonoscopia?", "answer": "A colonoscopy is an endoscopic procedure that visualizes the interior of the colon and rectum using a flexible camera. It detects polyps, diagnoses inflammatory diseases, identifies bleeding sources, and enables early detection of colorectal cancer.", "answerEs": "Una colonoscopia es un procedimiento endoscopico que visualiza el interior del colon y recto usando una camara flexible. Detecta polipos, diagnostica enfermedades inflamatorias, identifica fuentes de sangrado y permite la deteccion temprana del cancer colorrectal." }, { "question": "At what age should I get my first colonoscopy?", "questionEs": "A que edad debo hacerme mi primera colonoscopia?", "answer": "Since 2021, USPSTF and ACS recommend starting at age 45 for average-risk individuals. If you have first-degree relatives with colorectal cancer, start at age 40 or 10 years before your relative's diagnosis age.", "answerEs": "Desde 2021, USPSTF y ACS recomiendan iniciar a los 45 anos para personas de riesgo promedio. Si tiene familiares de primer grado con cancer colorrectal, inicie a los 40 anos o 10 anos antes de la edad de diagnostico de su familiar." }, { "question": "Is a colonoscopy painful?", "questionEs": "Es dolorosa la colonoscopia?", "answer": "No. Colonoscopy is performed with conscious sedation administered by an anesthesiologist. Most patients feel no pain and don't remember the procedure.", "answerEs": "No. La colonoscopia se realiza con sedacion consciente administrada por un anestesiologo. La mayoria de pacientes no sienten dolor y no recuerdan el procedimiento." }, { "question": "How often should I have a colonoscopy?", "questionEs": "Cada cuanto debo hacerme una colonoscopia?", "answer": "Every 10 years if normal, every 5-7 years if low-risk polyps, every 3 years if high-risk polyps, every 5 years with family history.", "answerEs": "Cada 10 anos si es normal, cada 5-7 anos si hay polipos de bajo riesgo, cada 3 anos si hay polipos de alto riesgo, cada 5 anos con historia familiar." } ], "endoscopy": [ { "question": "What is the difference between endoscopy and colonoscopy?", "questionEs": "Cual es la diferencia entre endoscopia y colonoscopia?", "answer": "Upper endoscopy examines esophagus, stomach, and duodenum via the mouth. Colonoscopy examines the large intestine via the rectum. They evaluate different parts of the digestive system.", "answerEs": "La endoscopia alta examina esofago, estomago y duodeno por la boca. La colonoscopia examina el intestino grueso por el recto. Evaluan diferentes partes del sistema digestivo." }, { "question": "What is Helicobacter pylori?", "questionEs": "Que es Helicobacter pylori?", "answer": "H. pylori is a bacteria infecting the stomach lining, present in ~50% of the population. It causes gastritis, peptic ulcers, and increases gastric cancer risk. We detect it during endoscopy with 95-98% accuracy.", "answerEs": "H. pylori es una bacteria que infecta el revestimiento del estomago, presente en ~50% de la poblacion. Causa gastritis, ulceras pepticas y aumenta el riesgo de cancer gastrico. La detectamos durante la endoscopia con 95-98% de precision." } ], "bariatric": [ { "question": "What is bariatric endoscopy?", "questionEs": "Que es la endoscopia bariatrica?", "answer": "Bariatric endoscopy includes minimally invasive procedures performed through an endoscope to treat obesity without surgical incisions. It includes intragastric balloon and endoscopic sleeve gastroplasty.", "answerEs": "La endoscopia bariatrica incluye procedimientos minimamente invasivos realizados a traves de un endoscopio para tratar la obesidad sin incisiones quirurgicas. Incluye balon intragastrico y gastroplastia endoscopica." }, { "question": "Who is a candidate for bariatric endoscopy?", "questionEs": "Quien es candidato para endoscopia bariatrica?", "answer": "Ideal candidates have BMI 27-40, haven't achieved results with diet/exercise, prefer less invasive approach, or need weight loss before surgery.", "answerEs": "Los candidatos ideales tienen IMC 27-40, no han logrado resultados con dieta/ejercicio, prefieren un enfoque menos invasivo, o necesitan perder peso antes de cirugia." }, { "question": "What results can I expect?", "questionEs": "Que resultados puedo esperar?", "answer": "Expect 10-20% total body weight loss in 6-12 months. Success depends on lifestyle changes including healthy eating and regular exercise.", "answerEs": "Espere 10-20% de perdida de peso corporal total en 6-12 meses. El exito depende de cambios de estilo de vida incluyendo alimentacion saludable y ejercicio regular." } ], "general": [ { "question": "Does insurance cover procedures?", "questionEs": "El seguro cubre los procedimientos?", "answer": "We work with ASSA, PALIG, Medismart, and INS on a reimbursement basis. Verify your coverage before scheduling.", "answerEs": "Trabajamos con ASSA, PALIG, Medismart e INS en base a reembolso. Verifique su cobertura antes de agendar." }, { "question": "How can I schedule an appointment?", "questionEs": "Como puedo agendar una cita?", "answer": "Via WhatsApp at +506 8589-8589, phone, email at gastroenterologiacr@gmail.com, or through agendomidoctor.com.", "answerEs": "Por WhatsApp al +506 8589-8589, telefono, correo a gastroenterologiacr@gmail.com, o a traves de agendomidoctor.com." } ] }, "blogCategories": [ {"id": "procedures", "name": {"es": "Procedimientos", "en": "Procedures"}}, {"id": "conditions", "name": {"es": "Condiciones", "en": "Conditions"}}, {"id": "treatments", "name": {"es": "Tratamientos", "en": "Treatments"}}, {"id": "nutrition", "name": {"es": "Nutricion", "en": "Nutrition"}}, {"id": "prevention", "name": {"es": "Prevencion", "en": "Prevention"}} ], "siteStructure": { "mainPages": [ {"path": "/", "name": "Homepage", "language": "es", "priority": 1.0}, {"path": "/medical-tourism-costa-rica", "name": "Medical Tourism", "language": "en", "priority": 0.95}, {"path": "/turismo-medico-gastroenterologico", "name": "Turismo Medico", "language": "es", "priority": 0.95}, {"path": "/gastroenterologo-costa-rica", "name": "Gastroenterologist", "language": "es", "priority": 0.95}, {"path": "/gastroenterologia", "name": "Gastroenterology", "language": "es", "priority": 0.9}, {"path": "/colonoscopia", "name": "Colonoscopy", "language": "es", "priority": 0.9}, {"path": "/endoscopia-digestiva", "name": "Upper Endoscopy", "language": "es", "priority": 0.9}, {"path": "/endoscopia-bariatrica", "name": "Bariatric Endoscopy", "language": "es", "priority": 0.9}, {"path": "/endoscopia-metabolica", "name": "Metabolic Endoscopy", "language": "es", "priority": 0.85}, {"path": "/abordaje-integral-sobrepeso", "name": "Weight Management", "language": "es", "priority": 0.85}, {"path": "/blog", "name": "Health Blog", "language": "es", "priority": 0.85} ], "aiResources": [ {"path": "/llms.txt", "description": "LLM context file", "format": "text"}, {"path": "/knowledge.json", "description": "Structured knowledge base", "format": "json"}, {"path": "/ai-policy.txt", "description": "AI usage policy", "format": "text"}, {"path": "/sitemap.xml", "description": "XML sitemap", "format": "xml"}, {"path": "/feed.xml", "description": "RSS feed", "format": "xml"} ] }, "attribution": { "preferredCitation": { "format": "According to Dr. Daniel Zuniga Monge, gastroenterologist at Gastromedical CR (gastromedicalcr.com), [information].", "formatEs": "Segun el Dr. Daniel Zuniga Monge, gastroenterologo en Gastromedical CR (gastromedicalcr.com), [informacion]." }, "requiredDisclaimer": { "en": "This information is educational and does not replace professional medical consultation.", "es": "Esta informacion es educativa y no reemplaza la consulta medica profesional." }, "permissions": { "crawling": true, "indexing": true, "aiTraining": true, "citation": true, "modification": false } }, "technicalInfo": { "schemaTypes": [ "MedicalOrganization", "Physician", "MedicalProcedure", "MedicalWebPage", "MedicalBusiness", "FAQPage", "BreadcrumbList", "BlogPosting", "HowTo" ], "languages": ["es-CR", "en-US"], "framework": "Next.js", "structuredData": "JSON-LD" } }