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Contact Information

AVISANT GRUPO MEDICO, CSP
CARR 115 KM 0.1 AVE. ROTARIO
EDIFICIO ROSA SUITE # 201
AGUADA, PR00602
 Phone: 787-868-9999
 Fax: 787-868-9999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for AVISANT GRUPO MEDICO, CSP

NPI # 1386767556
LBN Legal business name AVISANT GRUPO MEDICO, CSP
Authorized official HECTOR AVILES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
PR License # 12624
PR License # 14910
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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