Organization
BRENDA AGUAYO PCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA AGUAYO VICENTE M.D. (GENERALISTA)
(787) 855-0586
Entity
Organization
Contact information
Practice address
#29-B CALLE BETANCES, VEGA BAJA, PR 00693
(787) 855-0586
Mailing address
PO BOX 1097, VEGA BAJA, PR 00693
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
14441
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326138132
NPI
PR
Enumeration date
07/08/2014
Last updated
07/08/2014
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