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Individual

ANDRES R AVILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 CALLE 13 SW, CAPARRA TERRACE, SAN JUAN, PR 00921-2014
(787) 677-1041
Mailing address
CALLE 13 S.O. #825, CAPARRA TERRACE, SAN JUAN, PR 00921-1304
(787) 677-1041

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17745
PR

Other

Enumeration date
09/25/2009
Last updated
09/25/2009
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