Abg Advanced Gastro Group LLC
Internal Medicine, Gastroenterology in San Juan, PR. Organization (NPI-2).
NPI number1548090210
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1548090210
- Entity type
- Organization (NPI-2)
- Legal business name
- Abg Advanced Gastro Group LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2024
- Certification date
- Jul 30, 2024
- Last updated
- Aug 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Practice location
1451 Ave AshfordSan Juan, PR 00907-1511
Phone 787-721-2160
Mailing address
Urb Tierra Alta IIP6 Calle Las Palomas
Guaynabo, PR 00969-3244
Authorized official
Aliana M Bofill Garcia
President
7873702513
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