Organization
NORTHWEST INFUSION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS J ACEVEDO MARTY MD (PRESIDENTE)
(787) 882-6100
Entity
Organization
Contact information
Practice address
13 CALLE PADRE FELICIANO, SAN SEBASTIAN, PR 00685-2215
(787) 896-1057
(787) 896-1057
Mailing address
PO BOX 250139, AGUADILLA, PR 00604-0139
(787) 882-6100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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