# GUAYNABO AMBULATORY SURGICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184871485
- **Authorized official:** MRS. ANGIE L. JIMENEZ MPHE (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (787) 522-2825

## Contact information

- **Practice address:** CARR 165 \# KM1, SUITE 1010 CITY VIEW PLAZA II, GUAYNABO, PR 00968-8047
- **Practice address phone:** (787) 775-2020
- **Mailing address:** CITY VIEW PLAZA LOBBY SUITE 1010 TORRE II, CARR. 165 KM 1.2 \#48, GUAYNABO, PR 00968
- **Mailing address phone:** (787) 775-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | PR | Yes |

## Other

- **Enumeration date:** 08/19/2008
- **Last updated:** 07/30/2009