MEDICARE: TAIT NEUROLOGY AND HEADACHE MEDICINE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1588509509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAIT NEUROLOGY AND HEADACHE MEDICINE LLC

Provider Business Mailing Address
First Line	:	310 CALLE OHIO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-3303
Country	:	US
Telephone Number	:	787-921-6601
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 WISTON CHURCHILL
Second Line	:	LOCAL 104
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6650
Country	:	US
Telephone Number	:	787-921-6601
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANCINE L TAIT AVAGNINA
Credential	:	MD
Telephone Number	:	787-408-3172

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

Similar Medicare Providers

1134357296 — PROFESSIONAL HEARING & BALANCE CENTER
Practice Location Address:

200 AVE. WINSTON CHURCHILL , SUITE 301
SAN JUAN, PR
00926-6650

Practice Phone: 787-759-7744
Practice Fax:

1689020299 — PRISCILLA JOUVIN
Practice Location Address:

4653 CARMEL MOUNTAIN RD STE 308
SAN DIEGO, CA
92130-6650

Practice Phone: 858-319-9411
Practice Fax:

1114011020 — ALL SMILE DENTAL
Practice Location Address:

4653 CARMEL MOUNTAIN RD , STE. 306
SAN DIEGO, CA
92130-6650

Practice Phone: 858-350-0045
Practice Fax: 858-228-4367

1447325865 — HEALTHWELL INC
Practice Location Address:

1200 GOUGH ST , SUITE 700
SAN FRANCISCO, CA
94109-6650

Practice Phone: 415-921-1211
Practice Fax: 415-921-1229

1922174267 — DR. ALISHERHON AZAMOV MD
Practice Location Address:

4653 CARMEL MOUNTAIN RD STE 308-201
SAN DIEGO, CA
92130-6650

Practice Phone: 619-955-8494
Practice Fax: 619-243-7317

1598931552 — RINA SCHUL PH.D.
Practice Location Address:

4653 CARMEL MOUNTAIN RD
SAN DIEGO, CA
92130-6650

Practice Phone: 858-330-0065
Practice Fax: 858-216-8033

Directions to “TAIT NEUROLOGY AND HEADACHE MEDICINE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.