Organization
CORPORACION VIDAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISSEL LOREINY SUAREZ (PRESIDENT)
(787) 244-4073
Entity
Organization
Contact information
Practice address
CARR 931 KM 5.5, BO NAVARRO SECTOR CIELITO, GURABO, PR 00778
(787) 244-4073
(787) 744-6276
Mailing address
PO BOX 1296, GURABO, PR 00778
(787) 244-4073
(787) 744-6276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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