1043452329 NPI number — DR. ALBERTO AVILES MUNOZ

Table of content: DR. ALBERTO AVILES MUNOZ (NPI 1043452329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043452329 NPI number — DR. ALBERTO AVILES MUNOZ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AVILES MUNOZ
Provider First Name:
ALBERTO
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043452329
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB PARQUE LA ARBOLEDA #33
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AGUADILLA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00603
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-503-9590
Provider Business Mailing Address Fax Number:
787-652-4833

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
740 AVE HOSTOS SUITE 215
Provider Second Line Business Practice Location Address:
MEDICAL CENTER PLAZA
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00682-1539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-503-9590
Provider Business Practice Location Address Fax Number:
787-652-4833
Provider Enumeration Date:
04/01/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  795 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)