Organization
CLINICA VITALIZA CORP
Active
Other names
CLINICA VITALIZA CORP.
Organization subpart
No
Provider details
NPI number
Authorized official
JOHARYS K AYBAR CRUZ (PRESIDENTE)
(787) 627-9285
Entity
Organization
Contact information
Practice address
CAROLINA SHOPPING COURT, 307A AVENIDA ROBERTO CLEMENTE, CAROLINA, PR 00985
(787) 627-9285
Mailing address
URB VILLA CAROLINA, 141-15 CALLE 411, CAROLINA, PR 00985
(787) 627-9285
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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