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Individual

DR. FREDDIE H. ROMAN AVILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14 CALLE PERAL N, OFICINA 1-E, MAYAGUEZ, PR 00680-4861
(787) 833-1060
(787) 265-4025
Mailing address
14 CALLE PERAL N, OFICINA 1-E, MAYAGUEZ, PR 00680-4861
(787) 833-1060
(787) 265-4025

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3175
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04415
PROSSAM
PR
01
063248
LCA
PR
01
1744
PMC
PR
01
209033
PREFERRED HEALTH
PR
01
5122
IMC
PR
01
602359
MMM
PR
01
6646
AMERICAN HEALTH MEDICARE
PR
01
7080031
HUMANA
PR
01
94725
TRIPLE S OPTIMO
PR
Enumeration date
04/02/2007
Last updated
07/02/2021
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