Individual
ABIMAEL ORTIZ AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR. 125 KM 18.3, BO. GUATEMALA, SAN SEBASTIAN, PR 00685-0001
(939) 264-4522
Mailing address
RR 1 BOX 44808, SAN SEBASTIAN, PR 00685-6228
(939) 264-4522
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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