# AG THYROID & ENDOCRINE CLINIC LLC

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

## Provider details

- **NPI number:** 1275036451
- **Authorized official:** ALEX N GONZALEZ BOSSOLO MD (PRESIDENT)
- **Authorized official phone:** (787) 726-1100

## Contact information

- **Practice address:** 1801 AVE PONCE DE LEON, SAN JUAN, PR 00909-1900
- **Practice address phone:** (787) 726-1100
- **Mailing address:** 1801 AVE PONCE DE LEON, SAN JUAN, PR 00909-1900
- **Mailing address phone:** (787) 726-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | PR | Yes |

## Other

- **Enumeration date:** 03/14/2018
- **Last updated:** 03/14/2018