Organization
GRUPO ADVANTAGE METRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO LUIS BENGOA (AUTHORIZED OFFICIAL)
(787) 625-2500
Entity
Organization
Contact information
Practice address
1551 ALDA STREET, URB. CARIBE, SAN JUAN, PR 00926
(787) 625-2500
Mailing address
1551 ALDA STREET, URB. CARIBE, SAN JUAN, PR 00926
(787) 625-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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