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Organization

TAIT NEUROLOGY AND HEADACHE MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCINE L TAIT AVAGNINA MD (PRESIDENT)
(787) 408-3172
Entity
Organization

Contact information

Practice address
200 WISTON CHURCHILL, LOCAL 104, SAN JUAN, PR 00926-6650
(787) 921-6601
Mailing address
310 CALLE OHIO, SAN JUAN, PR 00926-3303
(787) 921-6601

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
04/23/2026
Last updated
04/23/2026
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