Provider Demographics
NPI:1366251563
Name:AFA MEDICAL GROUP LLC
Entity type:Organization
Organization Name:AFA MEDICAL GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICEPRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIBASKY
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-370-7107
Mailing Address - Street 1:LAS CASONAS C-19
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602
Mailing Address - Country:US
Mailing Address - Phone:787-370-7107
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 417 KILOMETRO 0.5
Practice Address - Street 2:BARRIO PIEDRAS BLANCAS
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:939-323-3473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center