Organization
GRUPO PRHO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN C AVILES MD (SHAREHOLDER)
(787) 505-2444
Entity
Organization
Contact information
Practice address
HOSPITAL MENONITA DE CAGUAS, CARRETERA 172, CAGUAS, PR 00726
(787) 505-2444
Mailing address
PO BOX 2057, GUAYNABO, PR 00970-2057
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/20/2018
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