Organization
MEDIVIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEILEENE TORRES COLBERG (PARTNER)
(787) 396-5050
Entity
Organization
Contact information
Practice address
407B CALLE JUAN A DAVILA, SUITE 2, SAN JUAN, PR 00918
(787) 504-5005
Mailing address
PO BOX 16474, SAN JUAN, PR 00908-6474
(787) 396-5050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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