Organization
BELA-G LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVARISTO JAIME MEDINA CUCURELLA MD (PRESIDENT)
(787) 383-2226
Entity
Organization
Contact information
Practice address
HOSPITAL WILMA VAZQUEZ, CARR 2 KM. 39.5 SUITE 109, VEGA BAJA, PR 00694-7001
(787) 858-1580
Mailing address
PO BOX 2569, GUAYNABO, PR 00970-2569
(787) 383-2226
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
04/28/2025
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