Organization
AG THYROID & ENDOCRINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX N GONZALEZ BOSSOLO MD (PRESIDENT)
(787) 726-1100
Entity
Organization
Contact information
Practice address
1801 AVE PONCE DE LEON, SAN JUAN, PR 00909-1900
(787) 726-1100
Mailing address
1801 AVE PONCE DE LEON, SAN JUAN, PR 00909-1900
(787) 726-1100
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11457606444
NPI
PR
Enumeration date
03/14/2018
Last updated
03/14/2018
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