Healthcare Provider Details

I. General information

NPI: 1669319455
Provider Name (Legal Business Name): ADVANCED ENDOCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 AVE SAN PATRICIO STE 1090
GUAYNABO PR
00968-3047
US

IV. Provider business mailing address

17-13 CALLE 10
BAYAMON PR
00959-6605
US

V. Phone/Fax

Practice location:
  • Phone: 787-414-8777
  • Fax:
Mailing address:
  • Phone: 787-414-8777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: CRISTINA M CASAS LOYOLA
Title or Position: PRESIDENT
Credential:
Phone: 787-414-8777