# EMUNA MEDICINE & AESTHETICS CLINIC LLC

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

## Provider details

- **NPI number:** 1477487148
- **Authorized official:** DR. KEVIN O ALICEA VARGAS MD (OWNER)
- **Authorized official phone:** (787) 612-0429

## Contact information

- **Practice address:** 190 CALLE DR SUSONI, HATILLO, PR 00659-2278
- **Practice address phone:** (939) 353-0970
- **Mailing address:** PO BOX 418, CAMUY, PR 00627-0418
- **Mailing address phone:** (939) 353-0970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2026
- **Last updated:** 06/09/2026