# VEGA ALTA MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1386745479
- **Authorized official:** IVAN MILLON (ADMINISTRATOR)
- **Authorized official phone:** (787) 883-0995

## Contact information

- **Practice address:** MARGINAL \#1 URB SANTA RITA, VEGA ALTA, PR 00692
- **Practice address phone:** (787) 883-0995
- **Mailing address:** BOX 1360, VEGA ALTA, AR 00692
- **Mailing address phone:** (787) 270-1345
- **Mailing address fax:** (787) 270-1350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 31 | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020