Organization
ANDREA'S MEDICAL GROUP P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ALFONSO BONFIL (ADMINISTRATOR)
(787) 226-5135
Entity
Organization
Contact information
Practice address
406 GALENO PLAZA, SUITE 4 SAN CLALUDIO AVE., SAN JUAN, PR 00926-0000
(787) 226-5135
Mailing address
406 CALLE SAN CLAUDIO, SUITE 4, SAGRADO CORAZON, SAN JUAN, PR 00926-4117
(787) 226-5135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15891
PR
208D00000X
General Practice Physician
14286
PR
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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