| Corporacion Vidas LLC | |
|
Carr 931 Km 5.5 Bo Navarro Sector Cielito Gurabo PR 00778 | |
| (787) 244-4073 | |
| (787) 744-6276 |
| Full Name | Corporacion Vidas LLC |
|---|---|
| Speciality | Family Medicine |
| Location | Carr 931 Km 5.5, Gurabo, Puerto Rico |
| Authorized Official Name and Position | Crissel Loreiny Suarez (PRESIDENT) |
| Authorized Official Contact | 7872444073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corporacion Vidas LLC Po Box 1296 Gurabo PR 00778 Ph: (787) 244-4073 | Corporacion Vidas LLC Carr 931 Km 5.5 Bo Navarro Sector Cielito Gurabo PR 00778 Ph: (787) 244-4073 |
| NPI Number | 1326502667 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 01/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326502667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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