| Doctor Name: | BENJAMIN AVILES MELENDEZ |
| NPI Number: | 1154594810 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | TC-AMB 512 |
| Business Practice Address: | Carr 6622 Km .7 Sector La Linea Morovis, PR - 00687 |
| Business Phone Number: | 7873695572 |
| Business Fax Number: | |
| Mailing Address: | Hc 2 Box 6532, MOROVIS |
| State: | PR |
| Postal Code: | 006879736 |
| Phone Number: | 7873695572 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2008 |
| NPI Last Update Date: | 04/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | TC-AMB 512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |