Organization
BEAU DERM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AILEEN E SANTOS M.D. (PHYSICIAN)
(787) 484-2533
Entity
Organization
Contact information
Practice address
516B CALLE JUAN J JIMENEZ, SAN JUAN, PR 00918-2605
(787) 751-6018
Mailing address
64 AVENIDA CONDADO, PLAZA DEL CONDADO 1202, SAN JUAN, PR 00907-1894
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
19043
PR
Other
Enumeration date
06/16/2016
Last updated
09/06/2016
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