AESTHETIC CENTER OF PUERTO RCO CSP NPI 1295039626

NPI Information

NPI: 1295039626
Provider Name: AESTHETIC CENTER OF PUERTO RCO CSP
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
355 AVE FONT MARTELO
HOSPITAL RYDER OFICINA 402
HUMACAO, PR
ZIP 00791
Phone: (787) 850-8217
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AESTHETIC CENTER OF PUERTO RCO CSP is a plastic and reconstructive surgery surgery in Humacao, PR. The provider is a surgeon who specializes in plastic and reconstructive surgery. AESTHETIC CENTER OF PUERTO RCO CSP NPI is 1295039626. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

355 AVE FONT MARTELO
HOSPITAL RYDER OFICINA 402
HUMACAO, PR
ZIP 00791-249
Phone: (787) 850-8217

The provider's authorized official is Luis Ivan Morell .
The authorized official title is Precident and has the following contact phone number (787) 850-8217.

The enumeration date for this NPI number is 12/28/2010 and was last updated on 12/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20484MO	MEDICAID	PUERTO RICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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