Organization
NUEVA VIDA DE LA SALUD II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE C PRADO (PRESIDENTE)
(787) 270-2686
Entity
Organization
Contact information
Practice address
422 CALLE ITALIA, SAN JUAN, PR 00917-3625
(787) 270-2686
(787) 270-5292
Mailing address
PO BOX 468, VEGA BAJA, PR 00694-0468
(787) 270-2686
(787) 270-5292
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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