Healthcare Provider Details

I. General information

NPI: 1467023655
Provider Name (Legal Business Name): ARGOMED SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 PONCE DE LEON COND TORRE DE AUXILIO MUTUO SUITE 507
SAN JUAN PR
00917-5026
US

IV. Provider business mailing address

HC 3 BOX 30535
AGUADILLA PR
00603-9173
US

V. Phone/Fax

Practice location:
  • Phone: 787-546-2241
  • Fax:
Mailing address:
  • Phone: 787-546-2241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: ARIANA GONZALEZ MELENDEZ
Title or Position: RHEUMATOLOGIST
Credential: MD
Phone: 787-546-2241