Organization
LAVITTA DIALYSIS CENTER, INC
Active
Other names
LAVITTA DIALYSIS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA JULISSA MARTINEZ (PRESIDENT)
(939) 325-6493
Entity
Organization
Contact information
Practice address
471 AVE MUNOZ RIVERA, PONCE, PR 00733-0531
(939) 325-6493
Mailing address
529 CALLE LUIS A MORALES, ESTANCIAS DEL GOLF, PONCE, PR 00730-0531
(939) 325-6493
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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