Provider Demographics
NPI:1083300453
Name:ALDARONDO MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:ALDARONDO MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BENYVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDARONDO ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-567-6028
Mailing Address - Street 1:3002 CALLE EL PARAISO
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-6064
Mailing Address - Country:US
Mailing Address - Phone:787-567-6028
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA #2 KM 110.9 BO. ARENALES BAJOS
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-6064
Practice Address - Country:US
Practice Address - Phone:787-567-6028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty