Organization
MEDICFAST CITA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILFREDO REYES (DIRECTOR)
(787) 642-0062
Entity
Organization
Contact information
Practice address
558B BO SINGAPUR, PASTILLO, JUANA DIAZ, PR 00795
(939) 338-9551
Mailing address
MIRAFLORES MALL, CALLE 6 20-3, BAYAMON, PR 00957-6707
(939) 338-9551
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2112445
PR
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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