Provider Demographics
NPI:1952518532
Name:AYMERICH, SIXTO R (MD, JD)
Entity type:Individual
Prefix:DR
First Name:SIXTO
Middle Name:R
Last Name:AYMERICH
Suffix:
Gender:M
Credentials:MD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 CALLE LILAS
Mailing Address - Street 2:URB. SAN FRANCISCO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6353
Mailing Address - Country:US
Mailing Address - Phone:787-751-9078
Mailing Address - Fax:
Practice Address - Street 1:1729 CALLE LILAS
Practice Address - Street 2:URB. SAN FRANCISCO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-6353
Practice Address - Country:US
Practice Address - Phone:787-751-9078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3692174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist