| Holistica Vida Llc | |
|
Urb. Mariani Calle Rossevelt 3019 Apt. 5 Ponce PR 00730 | |
| (787) 512-2666 | |
| Not Available |
| Full Name | Holistica Vida Llc |
|---|---|
| Speciality | Clinic/center |
| Location | Urb. Mariani, Ponce, Puerto Rico |
| Authorized Official Name and Position | Manuel A Conesa Figueroa (OWNER) |
| Authorized Official Contact | 7874009704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistica Vida Llc Urb. La Rambla Calle Clarisas 1283 Ponce PR 00730-4044 Ph: (787) 400-9704 | Holistica Vida Llc Urb. Mariani Calle Rossevelt 3019 Apt. 5 Ponce PR 00730 Ph: (787) 512-2666 |
| NPI Number | 1316657224 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 12/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316657224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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