Healthcare Provider Details

I. General information

NPI: 1629424528
Provider Name (Legal Business Name): FELIPE AGUAYO ROMERO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 3 KM 8.3 AVE 65 DE INFANTERIA
CAROLINA PR
00984
US

IV. Provider business mailing address

CARRETERA 3 KM 8.3 AVE 65 DE INFANTERIA
CAROLINA PR
00984
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-1800
  • Fax: 787-276-2205
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number23098
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: