| Centro De Endocrinologia Alcantara Gonzalez, Llc | |
|
Santa Juanita Calle 37 Tt-14 Bayamon PR 00956 | |
| (787) 787-0933 | |
| (787) 778-0230 |
| Full Name | Centro De Endocrinologia Alcantara Gonzalez, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Santa Juanita, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Altagracia A Alcantara Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7877870933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Endocrinologia Alcantara Gonzalez, Llc Uu-1 Calle 39 Pmb 302 Urb. Santa Juanita Bayamon PR 00956-4792 Ph: (787) 787-0933 | Centro De Endocrinologia Alcantara Gonzalez, Llc Santa Juanita Calle 37 Tt-14 Bayamon PR 00956 Ph: (787) 787-0933 |
| NPI Number | 1942858493 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 08/28/2019 |
| Medicare PECOS PAC ID | 8325437767 |
|---|---|
| Medicare Enrollment ID | O20211105001037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942858493 | NPI | - | NPPES |
| 11898 | Other | PR | LICENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Altagracia A Alcantara Gonzalez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376505586 PECOS PAC ID: 1254460900 Enrollment ID: I20100519000172 |
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