# MS NEUROLOGY

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

## Provider details

- **NPI number:** 1518362714
- **Authorized official:** RIVERA ALMIN (ADMINISTRATOR)
- **Authorized official phone:** (787) 607-3160

## Contact information

- **Practice address:** AGUADILLA MALL STE 201, AGUADILLA, PR 00603-4953
- **Practice address phone:** (787) 882-7380
- **Mailing address:** AGUADILLA MEDICAL PLAZA SUITE 201, AGUADILLA, PR 00603
- **Mailing address phone:** (787) 882-7380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 7416 | PR | Yes |

## Other

- **Enumeration date:** 10/30/2014
- **Last updated:** 10/30/2014