Organization
MAES DEVELOPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANA LILLIAM PADILLA (ADMINISTRATOR)
(787) 854-5704
Entity
Organization
Contact information
Practice address
J23 CALLE ELLIOT VELEZ SUITE 205, URB. ATENAS, MANATI, PR 00674-4616
(787) 854-5704
(787) 854-5704
Mailing address
J23 CALLE ELLIOT VELEZ STE 205, URB ATENAS, MANATI, PR 00674-4616
(787) 854-5704
(787) 854-5704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2085B0100X
Body Imaging Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3805
PREFERRED MEDICARE CHOICE
PR
01
—
994850
MEDICARE Y MUCHO MAS
PR
Enumeration date
10/04/2006
Last updated
12/03/2008
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