Provider Demographics
NPI:1558918466
Name:AGUADILLA MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:AGUADILLA MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEICY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-882-0303
Mailing Address - Street 1:PO BOX 5265
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-5265
Mailing Address - Country:US
Mailing Address - Phone:787-882-0303
Mailing Address - Fax:787-882-0399
Practice Address - Street 1:2 AVENUE VICTORIA
Practice Address - Street 2:KILOMETER 129.3
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-882-0303
Practice Address - Fax:787-882-0399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy