| Abg Advanced Gastro Group LLC | |
|
1451 Ave Ashford San Juan PR 00907-1511 | |
| (787) 721-2160 | |
| Not Available |
| Full Name | Abg Advanced Gastro Group LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1451 Ave Ashford, San Juan, Puerto Rico |
| Authorized Official Name and Position | Aliana M Bofill Garcia (PRESIDENT) |
| Authorized Official Contact | 7873702513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abg Advanced Gastro Group LLC Urb Tierra Alta Ii P6 Calle Las Palomas Guaynabo PR 00969-3244 | Abg Advanced Gastro Group LLC 1451 Ave Ashford San Juan PR 00907-1511 Ph: (787) 721-2160 |
| NPI Number | 1548090210 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/06/2024 |
| Certification Date | 07/30/2024 |
| Medicare PECOS PAC ID | 4082154711 |
|---|---|
| Medicare Enrollment ID | O20240910000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548090210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Aliana Bofill-garcia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902292238 PECOS PAC ID: 8729486808 Enrollment ID: I20240305000176 |
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