| Vita Medical Group Llc | |
|
1451 Ave Dr. Ashford San Juan PR 00907 | |
| (787) 893-3411 | |
| Not Available |
| Full Name | Vita Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1451 Ave Dr. Ashford, San Juan, Puerto Rico |
| Authorized Official Name and Position | Manuel J Ortiz (PRESIDENT) |
| Authorized Official Contact | 7876187696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Medical Group Llc Po Box 1945 Juncos PR 00777-1945 Ph: (787) 893-3411 | Vita Medical Group Llc 1451 Ave Dr. Ashford San Juan PR 00907 Ph: (787) 893-3411 |
| NPI Number | 1962110841 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962110841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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