Organization
VIP MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIZABETH VAZQUEZ (ADMINISTRATOR)
(787) 554-8129
Entity
Organization
Contact information
Practice address
L2 CALLE 7, URB SAN FERNANDO, TOA ALTA, PR 00953
(787) 870-4704
(787) 870-3756
Mailing address
P.O. BOX 1212, TOA ALTA, PR 00954-1212
(787) 870-4704
(787) 870-3756
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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