Organization
MG GALENUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE S AVILES MD (PRESIDENT)
(939) 274-7336
Entity
Organization
Contact information
Practice address
DE DIEGO AVE. #150, SAN JUAN, PR 00907
(939) 274-7336
Mailing address
100 RAMON LUIS RIVERA AVENUE BOX 8989, BAYAMON, PR 00960
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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