Organization
ABG ADVANCED GASTRO GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIANA M BOFILL GARCIA MD (PRESIDENT)
(787) 370-2513
Entity
Organization
Contact information
Practice address
1451 AVE ASHFORD, SAN JUAN, PR 00907-1511
(787) 721-2160
Mailing address
URB TIERRA ALTA II, P6 CALLE LAS PALOMAS, GUAYNABO, PR 00969-3244
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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