Individual
HARRY AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8169 COND SAN VICENTE CALLE CONCORDIA, 412, PONCE, PR 00716
(787) 284-5884
Mailing address
PO BOX 7793, PONCE, PR 00732-7793
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75521
PR
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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