Organization
ANTI AGING PUERTO RICO, INC
Active
Other names
Anti Aging Puerto Rico
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME ANTONIO SALAS-RUSHFORD MD (PRESIDENT)
(786) 467-0606
Entity
Organization
Contact information
Practice address
559 CALLE CABO H ALVERIO, EXT. ROOSEVELT, SAN JUAN, PR 00918-3725
(786) 467-0606
(787) 963-1433
Mailing address
559 CALLE CABO H ALVERIO, EXT. ROOSEVELT, SAN JUAN, PR 00918-3725
(786) 467-0606
(787) 963-1344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/07/2009
Last updated
02/02/2017
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