Organization
AGUADILLA MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETHZAIDA LOPEZ (SUPERVISOR)
(787) 882-0303
Entity
Organization
Contact information
Practice address
2 AVE VICTORIA, AGUADILLA, PR 00603-4728
(787) 882-0303
(787) 997-1680
Mailing address
PO BOX 250479, AGUADILLA, PR 00604-0479
(787) 882-0303
(787) 997-1680
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
22
PR
261QA1903X
Ambulatory Surgical Clinic/Center
1
PR
261QE0002X
Emergency Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
864
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120073
MEDICAL SERVICES
PR
01
—
030227
EMERGENCY ROOM
PR
01
—
3005054
X RAY
PR
01
—
3732-2
EMERGENCY ROOM
PR
01
—
3732-3
LABORATORY
PR
01
—
3732-4
X RAY
PR
01
—
3732-5
PROCEDURES
PR
01
—
40001
MEDICAL SERVICES
PR
01
—
4000404
EMERGENCY ROOM
PR
01
—
5501113
ANESTHESIA
PR
01
—
5501121
GENERAL ANESTHESIA
PR
01
—
56-324
X RAY
PR
01
—
6005853
LABORATORY
PR
01
—
73-314
EMERGENCY ROOM
PR
01
—
74-313
LABORATORY
PR
Enumeration date
02/08/2006
Last updated
01/20/2023
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