# RGD MEDICAL GROUP

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

## Provider details

- **NPI number:** 1558682849
- **Authorized official:** DR. ALEX DANIEL ANDUJAR M.D. (MANAGING PARTNER)
- **Authorized official phone:** (787) 989-5593

## Contact information

- **Practice address:** 109 CALLE GUAYAMA, SAN JUAN, PR 00917-4512
- **Practice address phone:** (787) 989-5593
- **Mailing address:** 109 CALLE GUAYAMA, SAN JUAN, PR 00917-4512
- **Mailing address phone:** (787) 989-5593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 261QC1500X | Community Health Clinic/Center | 17940 | PR | — |
| 261QM2500X | Medical Specialty Clinic/Center | 17940 | PR | Yes |

## Other

- **Enumeration date:** 06/21/2010
- **Last updated:** 06/21/2010