# ENDOHEALTH LLC

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

## Provider details

- **NPI number:** 1194251512
- **Authorized official:** VIVIANA M ORTIZ-SANTIAGO (SOLE MEMBER)
- **Authorized official phone:** (787) 974-7868

## Contact information

- **Practice address:** 4 BS AVE LAS AMERICAS, URB BAIROA, CAGUAS, PR 00725
- **Practice address phone:** (787) 974-7868
- **Mailing address:** 1575 AVE MUNOZ RIVERA, PMB 121, PONCE, PR 00717-0211
- **Mailing address phone:** (787) 974-7868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 18803 | PR | Yes |

## Other

- **Enumeration date:** 05/04/2017
- **Last updated:** 05/04/2017