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:
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Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093715260 NPPES
Puerto Rico Other 11143 LICENSE

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