Abg Advanced Gastro Group LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ABG ADVANCED GASTRO GROUP LLC

Practice address

1451 Ave Ashford
San Juan, PR 00907-1511

Phone

(787) 721-2160

NPI assigned

Aug 6, 2024

Last updated

Aug 6, 2024By 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

Dr. Aliana M Bofill Garcia, MDNPI 1902292238

Title

President

Phone

(787) 370-2513

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aliana M Bofill-Garcia, MD

  • Gastroenterology Physician
  • Rochester, MN
  • NPI 1902292238

  PR

  Medicare reassignment NPD Authorized official
• Walisbeth Class-Vazquez

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1518302652

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1548090210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB TIERRA ALTA II",
            "address_2": "P6 CALLE LAS PALOMAS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 AVE ASHFORD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071511",
            "telephone_number": "787-721-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABG ADVANCED GASTRO GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "BOFILL GARCIA",
        "authorized_official_first_name": "ALIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-370-2513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Manuel Eduardo Abraham Gonzalez, M.D.
• Jennifer Abraham Vega, MD
• Nicole Abrams Santiago, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.