Organization
OCCUMED HEALTH SPECIALIST
Active
Other names
Occumed Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFREDO JOSE AVILES-MALDONADO MD (PRESIDENT & CEO)
(787) 772-0707
Entity
Organization
Contact information
Practice address
305 AVE FD ROOSEVELT, SAN JUAN, PR 00918-2305
(787) 772-0707
(787) 772-0711
Mailing address
305 AVE FD ROOSEVELT, SAN JUAN, PR 00918-2305
(787) 772-0707
(787) 772-0711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22354
PR
202C00000X
Independent Medical Examiner Physician
15483
PR
2083P0901X
Public Health & General Preventive Medicine Physician
15483
PR
208D00000X
General Practice Physician
Primary
15483
PR
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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