Santiago Aviles, Edson Luis
Santiago Aviles, Edson Luis is an sole proprietor health care provider with primary practice located at 909 Ave. Tito Castro Suite 813, Ponce PR 00716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Santiago Aviles, Edson Luis can be contacted via phone (787) 651-1426.Contact Information
Primary practice address
909 Ave. Tito Castro Suite 813
Ponce PR 00716
Phone: (787) 651-1426
Fax: (787) 267-3874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11143 | Puerto Rico |
Profile Details
| NPI number | 1093715260 |
|---|---|
| LBN Legal business name | Santiago Aviles, Edson Luis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Feb 8th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093715260 | NPPES |
| Puerto Rico | Other | 11143 | LICENSE |
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