Organization
A & S GASTROINTESTINAL DISEASES CLINICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN D ANTUNEZ GONZALEZ M.D. (PRESIDENT)
(787) 765-6554
Entity
Organization
Contact information
Practice address
35 CALLE JUAN C BORBON STE 67, GUAYNABO, PR 00969-5375
(787) 765-6554
(787) 283-3476
Mailing address
PMB 311 NUM 35 JUAN C BORBON SUITE 67, GUAYNABO, PR 00969-0000
(787) 765-6554
(787) 283-3476
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13434
PR
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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