| Medivida | |
|
407b Calle Juan A Davila Suite 2 San Juan PR 00918 | |
| (787) 504-5005 | |
| Not Available |
| Full Name | Medivida |
|---|---|
| Speciality | Family Medicine |
| Location | 407b Calle Juan A Davila, San Juan, Puerto Rico |
| Authorized Official Name and Position | Heileene Torres Colberg (PARTNER) |
| Authorized Official Contact | 7873965050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medivida Po Box 16474 San Juan PR 00908-6474 Ph: (787) 396-5050 | Medivida 407b Calle Juan A Davila Suite 2 San Juan PR 00918 Ph: (787) 504-5005 |
| NPI Number | 1043700743 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 05/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043700743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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