Organization
ENDOHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIANA M ORTIZ-SANTIAGO (SOLE MEMBER)
(787) 974-7868
Entity
Organization
Contact information
Practice address
4 BS AVE LAS AMERICAS, URB BAIROA, CAGUAS, PR 00725
(787) 974-7868
Mailing address
1575 AVE MUNOZ RIVERA, PMB 121, PONCE, PR 00717-0211
(787) 974-7868
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
18803
PR
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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