# CENTRO DE ENDOCRINOLOGIA ALCANTARA GONZALEZ, LLC

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

## Provider details

- **NPI number:** 1942858493
- **Authorized official:** DR. ALTAGRACIA A ALCANTARA GONZALEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 787-0933

## Contact information

- **Practice address:** SANTA JUANITA, CALLE 37 TT-14, BAYAMON, PR 00956
- **Practice address phone:** (787) 787-0933
- **Practice address fax:** (787) 778-0230
- **Mailing address:** UU-1 CALLE 39 PMB 302, URB. SANTA JUANITA, BAYAMON, PR 00956-4792
- **Mailing address phone:** (787) 787-0933
- **Mailing address fax:** (787) 778-0230

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2019
- **Last updated:** 08/28/2019