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Organization

VIDA WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALBERTO C LEON FELIBERTI MD (PRESIDENT)
(786) 216-5302
Entity
Organization

Contact information

Practice address
1018 ASHFORD AVE., SUITE 1A, CONDADO, PR 00907
(787) 216-5302
Mailing address
1018 ASHFORD AVE., SUITE 1A, CONDADO, PR 00907
(787) 216-5302

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
152W00000X
Optometrist
207RC0000X
Cardiovascular Disease Physician
208D00000X
General Practice Physician
225700000X
Massage Therapist
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017337
017337
PR
Enumeration date
02/15/2023
Last updated
02/15/2023
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