Aesthetic Center of Puerto Rco CSP
Organization Active NPI Plastic and Reconstructive Surgery Physician · Humacao, PR
NPI 1295039626 · NPPES record last updated Dec 28, 2010
Key facts
- NPI
- 1295039626
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- Legal business name
- AESTHETIC CENTER OF PUERTO RCO CSP
- Practice address
- 355 Ave Font Martelo
Hospital Ryder Oficina 402
Humacao, PR 00791-3249 - Phone
- (787) 850-8217
- NPI assigned
- Dec 28, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Luis Ivan Morell
- Title
- Precident
- Phone
- (787) 850-8217
Practitioners 1
-
Luis Ivan Morell, M.D.
National Provider Directory
Locations
355 Ave Font Martelo
#402
Humacao, PR 00791
Phone (787) 850-8217
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician |
2086S0122X | Yes |
Addresses
Primary practice location
355 Ave Font Martelo
Hospital Ryder Oficina 402
Humacao, PR 00791-3249
Mailing address
100 Grand Blvd Paseo
Suite 112 MSC 486
San Juan, PR 00926
Phone (787) 850-8217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20484MO | Medicaid | PR |
Other providers in Humacao, PR
- Francis Yamil Acosta
- Adamari Gomez Villegas
- Monique Adorno Monet
- Advance Dental Clinic Professional Corporation
- Advance Gynecology Services LLC
- Wanda I Agosto Delgado
- Angel David Agosto Rodriguez
- Agumet Inc.
- Isabel Alamo
- Alcides Oquendo Solis
All providers in Humacao, PR · Plastic and Reconstructive Surgery Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.