Provider Demographics
NPI:1427446368
Name:MILAGROS ACEVEDO GARCIA
Entity type:Organization
Organization Name:MILAGROS ACEVEDO GARCIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MILAGROS
Authorized Official - Middle Name:
Authorized Official - Last Name:ACEVEDO GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-396-9411
Mailing Address - Street 1:CC33 CALLE FLAMBOYANES
Mailing Address - Street 2:URB RIO HONDO III
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-4477
Mailing Address - Country:US
Mailing Address - Phone:787-269-7300
Mailing Address - Fax:787-731-5642
Practice Address - Street 1:CC33 AVE COMERIO
Practice Address - Street 2:RIO HONDO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-4477
Practice Address - Country:US
Practice Address - Phone:787-269-7300
Practice Address - Fax:787-731-5642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-30
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center