Healthcare Provider Details

I. General information

NPI: 1982682027
Provider Name (Legal Business Name): ALODIA LAMEIRO AGUAYO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 03/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR NO 844 KM 0.5 CUPEY BAJO, SAN GERARDO HOSPITAL
SAN JUAN PR
00926
US

IV. Provider business mailing address

PASEO ST #99 URB GRAN VISTA I
GURABO PR
00778
US

V. Phone/Fax

Practice location:
  • Phone: 787-748-0830
  • Fax: 787-957-2563
Mailing address:
  • Phone: 787-672-3250
  • Fax: 787-957-2563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number8691
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: