# AG WOMEN HEALTH SERVICES CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104968270
- **Authorized official:** DR. ANTONIO MEDINA MD (GINECOLOGO OBSTETRA)
- **Authorized official phone:** (787) 734-6020

## Contact information

- **Practice address:** CALLE LOPE HORMAZABAL \#40 URB MEDRID, JUNCOS, PR 00777-0000
- **Practice address phone:** (787) 734-6020
- **Practice address fax:** (787) 734-0006
- **Mailing address:** CALLE LOPE HORMAZABAL \#40 URB MEDRID, JUNCOS, PR 00777-0000
- **Mailing address phone:** (787) 734-6020
- **Mailing address fax:** (787) 734-0006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 13083 | PR | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020