Organization
CLINICA PODIATRICA AVILES, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILDA J AVILES-VARGAS DPM (PRESIDENT)
(939) 292-4627
Entity
Organization
Contact information
Practice address
2431 AVE LAS AMERICAS EDIFICIO PORRATA PILA, SUITE 208, PONCE, PR 00717
(939) 292-4627
Mailing address
PO BOX 986, LAJAS, PR 00667-0986
(939) 292-4627
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
109
PR
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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