Individual
BENJAMIN AVILES MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 6622 KM .7, SECTOR LA LINEA, MOROVIS, PR 00687
(787) 369-5572
Mailing address
HC 2 BOX 6532, MOROVIS, PR 00687-9736
(787) 369-5572
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC-AMB 512
PR
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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