Organization
PURA VIDA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL SOTO MD (OWNER)
(787) 672-9525
Entity
Organization
Contact information
Practice address
32 CALLE DON CHEMARY, MOCA, PR 00676-4122
(787) 672-9525
Mailing address
HC 5 BOX 10087, MOCA, PR 00676-9717
(787) 672-9525
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
07/11/2023
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