# ANDREA'S MEDICAL GROUP P.S.C.

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

## Provider details

- **NPI number:** 1366670275
- **Authorized official:** MR. LUIS ALFONSO BONFIL (ADMINISTRATOR)
- **Authorized official phone:** (787) 226-5135

## Contact information

- **Practice address:** 406 GALENO PLAZA, SUITE 4 SAN CLALUDIO AVE., SAN JUAN, PR 00926-0000
- **Practice address phone:** (787) 226-5135
- **Mailing address:** 406 CALLE SAN CLAUDIO, SUITE 4, SAGRADO CORAZON, SAN JUAN, PR 00926-4117
- **Mailing address phone:** (787) 226-5135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 15891 | PR | Yes |
| 208D00000X | General Practice Physician | 14286 | PR | — |

## Other

- **Enumeration date:** 06/30/2009
- **Last updated:** 06/30/2009