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Organization
P.R. MED VITALITY LLC
Active
Organization
P.R. MED VITALITY LLC
Active
Other names
P.R. Med Vitality LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SURIS CANCEL MD (SOLE MBR)
(939) 299-0113
Entity
Organization
Contact information
Practice address
3 CALLE JARDINES, HORMIGUEROS, PR 00660-1733
(939) 299-0112
Mailing address
URBANIZACION REMANSO CALLE BAYA HONDA 1020, CABO ROJO, PR 00623
(939) 299-0112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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