# PUERTO RICO VEIN AND VASCULAR CENTER LLC

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

## Provider details

- **NPI number:** 1780378018
- **Authorized official:** DR. JORGE LUIS WEBER GUZMAN MD (PRESIDENT)
- **Authorized official phone:** (787) 310-2041

## Contact information

- **Practice address:** CENTRO MEDICO MENONITA DE CAYEY, OFICINA 205, CAYEY, PR 00736
- **Practice address phone:** (787) 310-2041
- **Mailing address:** PO BOX 372800, CAYEY, PR 00737-2800
- **Mailing address phone:** (787) 310-2041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2023
- **Last updated:** 06/08/2023