Organization
AGM-GE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AILEEN GUZMAN M.D. (ADMINISTRATOR)
(787) 449-2201
Entity
Organization
Contact information
Practice address
J23 CALLE ELLIOT VELEZ, URB ATENAS, MANATI, PR 00674-4616
(787) 854-0404
(787) 854-0403
Mailing address
33 CALLE AMBER, TREASURE POINT, VEGA ALTA, PR 00692-8917
(787) 449-2201
(787) 854-0403
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13604
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021143
MEDICARE
PR
01
—
13604
LICENSE
PR
01
—
207RG0100X
TAXONOMY
PR
Enumeration date
01/28/2013
Last updated
01/28/2013
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