| P.R. Med Vitality LLC | |
|
3 Calle Jardines Hormigueros PR 00660-1733 | |
| (939) 299-0112 | |
| Not Available |
| Full Name | P.R. Med Vitality LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3 Calle Jardines, Hormigueros, Puerto Rico |
| Authorized Official Name and Position | Jennifer Suris Cancel (SOLE MBR) |
| Authorized Official Contact | 9392990113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P.R. Med Vitality LLC Urbanizacion Remanso Calle Baya Honda 1020 Cabo Rojo PR 00623 Ph: (939) 299-0112 | P.R. Med Vitality LLC 3 Calle Jardines Hormigueros PR 00660-1733 Ph: (939) 299-0112 |
| NPI Number | 1194598623 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194598623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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