Healthcare Provider Details

I. General information

NPI: 1578279485
Provider Name (Legal Business Name): CLINICA TODO SALUD - AIBONITO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2023
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PARQUE INDUSTRIAL BO LLANOS L-238-0-61 CARR 725 KM 0.5
AIBONITO PR
00705
US

IV. Provider business mailing address

PO BOX 70105
SAN JUAN PR
00936-8014
US

V. Phone/Fax

Practice location:
  • Phone: 787-545-7073
  • Fax: 787-620-5379
Mailing address:
  • Phone: 787-545-7073
  • Fax: 787-620-5379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2471B0102X
TaxonomyBone Densitometry Radiologic Technologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2471C3401X
TaxonomyComputed Tomography Radiologic Technologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARCOS AGUILA SASTRE
Title or Position: VP OF CLINICS
Credential: MHSA
Phone: 787-622-3000