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Organization
ANTI AGING PUERTO RICO, INC
Active
Organization
ANTI AGING PUERTO RICO, INC
Active
Other names
Anti Aging Puerto Rico
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME ANTONIO SALAS-RUSHFORD MD (PRESIDENT)
(786) 467-0606
Entity
Organization
Contact information
Practice address
559 CALLE CABO H ALVERIO, EXT. ROOSEVELT, SAN JUAN, PR 00918-3725
(786) 467-0606
(787) 963-1433
Mailing address
559 CALLE CABO H ALVERIO, EXT. ROOSEVELT, SAN JUAN, PR 00918-3725
(786) 467-0606
(787) 963-1344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/07/2009
Last updated
02/02/2017
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