| Impulso Vital Llc | |
|
B3 Calle Marginal, Urb Villa Lissette, Guaynabo, PR 00969-3421 | |
| (787) 999-6570 | |
| Not Available |
| Full Name | Impulso Vital Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | B3 Calle Marginal, Guaynabo, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750185708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Hernan N Lopez Vidal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376781690 PECOS PAC ID: 1153519301 Enrollment ID: I20110103000812 |
| Mailing Address | Practice Location Address |
|---|---|
| Impulso Vital Llc B3 Calle Marginal, Urb Villa Lissette, Guaynabo, PR 00969-3421 Ph: (787) 999-6570 | Impulso Vital Llc B3 Calle Marginal, Urb Villa Lissette, Guaynabo, PR 00969-3421 Ph: (787) 999-6570 |
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