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Organization

GGA P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUSTAVO JOSE GONZALEZ ASTACIO MD (PRESIDENT)
(787) 308-2905
Entity
Organization

Contact information

Practice address
HIMA PLAZA 1 SUITE 408 100 LUIS MUNOZ MARIN AVENUE, CAGUAS, PR 00725
(787) 308-2905
Mailing address
40 COND CAGUAS TOWER APT 1103, CAGUAS, PR 00725-5634

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
18759
PR

Other

Enumeration date
08/20/2018
Last updated
08/20/2018
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