Healthcare Provider Details

I. General information

NPI: 1518872498
Provider Name (Legal Business Name): AEDES MEDICAL HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CALLE DR BASORA N
MAYAGUEZ PR
00680-4833
US

IV. Provider business mailing address

PO BOX 286
ISABELA PR
00662-0286
US

V. Phone/Fax

Practice location:
  • Phone: 787-431-3589
  • Fax:
Mailing address:
  • Phone: 787-431-3589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DIEGO M CANABAL-LOPEZ
Title or Position: INFECTIOUS DISEASE PHYSICIAN
Credential: MD
Phone: 787-431-3589