Organization
MATERCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XAVIER ALEXIS TRAVERSO C.P.A. (CHIEF TECHNOLOGY OFFICER & DIRECTOR)
(787) 236-6767
Entity
Organization
Contact information
Practice address
520 CALLE JOSE R ACOSTA, SAN JUAN, PR 00918-2847
(787) 753-7800
(787) 753-4882
Mailing address
PO BOX 364087, SAN JUAN, PR 00936-4087
(787) 753-7800
(787) 753-4882
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
01/11/2021
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