# ANTI AGING PUERTO RICO, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anti Aging Puerto Rico
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528299583
- **Authorized official:** DR. JAIME ANTONIO SALAS-RUSHFORD MD (PRESIDENT)
- **Authorized official phone:** (786) 467-0606

## Contact information

- **Practice address:** 559 CALLE CABO H ALVERIO, EXT. ROOSEVELT, SAN JUAN, PR 00918-3725
- **Practice address phone:** (786) 467-0606
- **Practice address fax:** (787) 963-1433
- **Mailing address:** 559 CALLE CABO H ALVERIO, EXT. ROOSEVELT, SAN JUAN, PR 00918-3725
- **Mailing address phone:** (786) 467-0606
- **Mailing address fax:** (787) 963-1344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2009
- **Last updated:** 02/02/2017