# A & S GASTROINTESTINAL DISEASES CLINICS PSC

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

## Provider details

- **NPI number:** 1356692057
- **Authorized official:** DR. IVAN D ANTUNEZ GONZALEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 765-6554

## Contact information

- **Practice address:** 35 CALLE JUAN C BORBON STE 67, GUAYNABO, PR 00969-5375
- **Practice address phone:** (787) 765-6554
- **Practice address fax:** (787) 283-3476
- **Mailing address:** PMB 311 NUM 35 JUAN C BORBON SUITE 67, GUAYNABO, PR 00969-0000
- **Mailing address phone:** (787) 765-6554
- **Mailing address fax:** (787) 283-3476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 13434 | PR | Yes |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 09/21/2012