Organization
SISTEMA VIVA INC.
Active
Other names
Sistema Viva
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERTO LUIS BAUZO II (DIRECTOR)
(787) 214-0941
Entity
Organization
Contact information
Practice address
941 CALLE EIDER, COUNTRY CLUB, SAN JUAN, PR 00924-2335
(787) 214-0941
Mailing address
RR 4, BOX 3494, BAYAMON, PR 00956
(787) 214-0941
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
997478
PR
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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