Organization
VEGA ALTA MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN MILLON (ADMINISTRATOR)
(787) 883-0995
Entity
Organization
Contact information
Practice address
MARGINAL #1 URB SANTA RITA, VEGA ALTA, PR 00692
(787) 883-0995
Mailing address
BOX 1360, VEGA ALTA, AR 00692
(787) 270-1345
(787) 270-1350
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
31
—
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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