Most Relevant Information
Provider Data
| NPI Number: | 1003370685 |
| Provider Name: | TANIA MARIE AGUILA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/28/2019 |
| Last Updated: | 01/28/2019 |
Provider Practice Location
CARR 682 KM 9.4
BO FACTOR 2 SECTOR LA PRA
ARECIBO
PR
00612
Practice Location Phone/Fax
| Phone: | 7874529199 |
| Fax: |
Provider Mailing Location
PO BOX 779
GARROCHALES
PR
006520779
Provider Mailing Phone/Fax
| Phone: | 7874529199 |
| Fax: |