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Contact Information

LUIS A MEDINA AVILES, MD
CARR. 638 KM 0.1
DOMINGO RUIZ
ARECIBO, PR00616
 Phone: 787-815-3239
 Fax: 787-650-9884
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LUIS A MEDINA AVILES · (Male)

NPI # 1124174214
Status Active
Credentials MD
Entity Individual
Enumeration date 01/25/2007
Last updated 11/26/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • PR License # 12097
Hospital affiliation(s)
  • HOSPITAL DR SUSONI INC - (Acute Care)
    55 PALM ST
    ARECIBO, PR 00614
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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