Healthcare Provider Details

I. General information

NPI: 1932015658
Provider Name (Legal Business Name): ARTEMISA MEDICAL AESTHETIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PLAZA PENUELAS B30 PR - 385 KM 0.7
PENUELAS PR
00624-7505
US

IV. Provider business mailing address

P O BOX 999
PENUELAS PR
00624-0000
US

V. Phone/Fax

Practice location:
  • Phone: 787-836-6670
  • Fax:
Mailing address:
  • Phone: 787-836-6670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ILEANA ECHEVARRIA MARTINEZ
Title or Position: OWNER
Credential: MD
Phone: 787-508-9640