# MATERCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114367448
- **Authorized official:** MR. XAVIER ALEXIS TRAVERSO C.P.A. (CHIEF TECHNOLOGY OFFICER & DIRECTOR)
- **Authorized official phone:** (787) 236-6767

## Contact information

- **Practice address:** 520 CALLE JOSE R ACOSTA, SAN JUAN, PR 00918-2847
- **Practice address phone:** (787) 753-7800
- **Practice address fax:** (787) 753-4882
- **Mailing address:** PO BOX 364087, SAN JUAN, PR 00936-4087
- **Mailing address phone:** (787) 753-7800
- **Mailing address fax:** (787) 753-4882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | — |
| 176B00000X | Midwife | — | — | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2013
- **Last updated:** 01/11/2021