| Centro Medico Vida Activa | |
|
Carr 472 Km 1.0 Calle Casimiro De Castro #132 Bo Bejucos Isabela PR 00662 | |
| (787) 448-8497 | |
| Not Available |
| Full Name | Centro Medico Vida Activa |
|---|---|
| Speciality | General Practice |
| Location | Carr 472 Km 1.0 Calle, Isabela, Puerto Rico |
| Authorized Official Name and Position | Frances Rios Roldan (ADMINISTRATOR) |
| Authorized Official Contact | 7874488497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico Vida Activa 2483 Playuela Apt 18 Aguadilla PR 00603-6150 Ph: (787) 448-8497 | Centro Medico Vida Activa Carr 472 Km 1.0 Calle Casimiro De Castro #132 Bo Bejucos Isabela PR 00662 Ph: (787) 448-8497 |
| NPI Number | 1396501698 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 08/14/2026 |
| Certification Date | 08/14/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396501698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 314000000X | Skilled Nursing Facility | () | Secondary |
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