Grupo Advantage Metro LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GRUPO ADVANTAGE METRO LLC

Practice address

1551 Alda Street
Urb. Caribe
San Juan, PR 00926

Phone

(787) 625-2500

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By 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. Roberto Luis Bengoa

Title

Authorized Official

Phone

(787) 625-2500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1497307532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 ALDA STREET",
            "address_2": "URB. CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-625-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 ALDA STREET",
            "address_2": "URB. CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-625-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO ADVANTAGE METRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "BENGOA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "787-625-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growing Up Therapy and Research Center
• Growing Up Therapy and Research Center
• GRP Rafael Sanchez Valentin
• Virginia Alejandra Grundler, PSY.D.
• Grupo Advantage del Oeste
• Grupo Anestesiologos de Ojos
• Grupo de Empresas de Salud de San Juan, Inc
• Grupo de Empresas de Salud de San Juan, Inc
• Grupo de Empresas de Salud de San Juan, Inc.
• Grupo de Empresas de Salud de San Juan, Inc.

• 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 Jul 9, 2019; 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.