Andrea's Medical Group P.S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15891 Issued in PR

Legal business name

ANDREA'S MEDICAL GROUP P.S.C.

Practice address

406 Galeno Plaza
Suite 4 San Claludio Ave.
San Juan, PR 00926-0000

Phone

(787) 226-5135

NPI assigned

Jun 30, 2009

Last updated

Jun 30, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Luis Alfonso Bonfil

Title

Administrator

Phone

(787) 226-5135

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1366670275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 CALLE SAN CLAUDIO",
            "address_2": "SUITE 4, SAGRADO CORAZON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264117",
            "telephone_number": "787-226-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 GALENO PLAZA",
            "address_2": "SUITE 4 SAN CLALUDIO AVE.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-226-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA'S MEDICAL GROUP P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "BONFIL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-226-5135",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15891",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Andino-Vergara, M.D.
• Johann Andino, RPH
• Marjorie Andino, MSW
• Monica Z Andino, RPH
• Violeta Andino, PT
• Marcos Gabriel Andujar Ruiz, RN, BSN
• Job Eliud Andujar, M.D.
• Liznette Andujar, RPT
• Reina Aneses-Gonzalez
• Carlos Aneses

• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.