Individual
IDY AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL 636
Contact information
Practice address
50 CARR 639 UNIT 873, SABANA HOYOS, PR 00688-6842
(787) 503-9520
Mailing address
PO BOX 873, SABANA HOYOS, PR 00688-0873
(787) 503-9520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
636
PR
Other
Enumeration date
09/09/2016
Last updated
01/28/2025
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