Organization
INICIATIVA COMUNITARIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE A VARGAS VIDOT M.D. (MEDICO)
(787) 250-8629
Entity
Organization
Contact information
Practice address
STREET QUISQUEYA # 61, ESQ CHILE, HATO REY, PR 00936-6535
(787) 250-8629
(787) 753-4454
Mailing address
61 CALLE QUISQUEYA, PO BOX 366535, SAN JUAN, PR 00917-1202
(787) 250-8629
(787) 753-4454
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
04/28/2016
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