Organization
CENTRO DE ENDOCRINOLOGIA ALCANTARA GONZALEZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALTAGRACIA A ALCANTARA GONZALEZ MD (PRESIDENT)
(787) 787-0933
Entity
Organization
Contact information
Practice address
SANTA JUANITA, CALLE 37 TT-14, BAYAMON, PR 00956
(787) 787-0933
(787) 778-0230
Mailing address
UU-1 CALLE 39 PMB 302, URB. SANTA JUANITA, BAYAMON, PR 00956-4792
(787) 787-0933
(787) 778-0230
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11898
LICENCE NUMBER
PR
Enumeration date
08/28/2019
Last updated
08/28/2019
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