Organization
P.R. MED VITALITY LLC
Active
Other names
P.R. Med Vitality LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SURIS CANCEL MD (SOLE MBR)
(939) 299-0113
Entity
Organization
Contact information
Practice address
3 CALLE JARDINES, HORMIGUEROS, PR 00660-1733
(939) 299-0112
Mailing address
URBANIZACION REMANSO CALLE BAYA HONDA 1020, CABO ROJO, PR 00623
(939) 299-0112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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