Organization
MEDICINA AUDAZ, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS ACEVEDO M.D. (PRESIDENT)
(787) 819-1215
Entity
Organization
Contact information
Practice address
AVE. KENNEDY # 18 CARR. # 2 KM 141.10, HOSPITAL BUEN SAMARITANO (1ST FLOOR), AGUADILLA, PR 00603-0000
(787) 819-1215
(787) 819-1215
Mailing address
PO BOX 1868, VICTORIA STATION, AGUADILLA, PR 00605-1868
(787) 819-1215
(787) 819-1215
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
125152
PR
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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