# AGUADILLA MEDICAL SERVICES, INC.

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

## Provider details

- **NPI number:** 1588637789
- **Authorized official:** MRS. BETHZAIDA LOPEZ (SUPERVISOR)
- **Authorized official phone:** (787) 882-0303

## Contact information

- **Practice address:** 2 AVE VICTORIA, AGUADILLA, PR 00603-4728
- **Practice address phone:** (787) 882-0303
- **Practice address fax:** (787) 997-1680
- **Mailing address:** PO BOX 250479, AGUADILLA, PR 00604-0479
- **Mailing address phone:** (787) 882-0303
- **Mailing address fax:** (787) 997-1680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 22 | PR | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1 | PR | — |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | 864 | PR | — |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 01/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0120073 | MEDICAL SERVICES | PR |
| 01 | — | 030227 | EMERGENCY ROOM | PR |
| 01 | — | 3005054 | X RAY | PR |
| 01 | — | 3732-2 | EMERGENCY ROOM | PR |
| 01 | — | 3732-3 | LABORATORY | PR |
| 01 | — | 3732-4 | X RAY | PR |
| 01 | — | 3732-5 | PROCEDURES | PR |
| 01 | — | 40001 | MEDICAL SERVICES | PR |
| 01 | — | 4000404 | EMERGENCY ROOM | PR |
| 01 | — | 5501113 | ANESTHESIA | PR |
| 01 | — | 5501121 | GENERAL ANESTHESIA | PR |
| 01 | — | 56-324 | X RAY | PR |
| 01 | — | 6005853 | LABORATORY | PR |
| 01 | — | 73-314 | EMERGENCY ROOM | PR |
| 01 | — | 74-313 | LABORATORY | PR |