Organization
LA VIDA MEDICAL GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRIAM SAEZ MD (PRESIDENT)
(787) 880-2363
Entity
Organization
Contact information
Practice address
549 CALLE DEL MAR, SUITE 303, HATILLO, PR 00659-2869
(787) 880-2363
Mailing address
549 CALLE DEL MAR, SUITE 303, HATILLO, PR 00659-2869
(787) 880-2363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12097
PR
207R00000X
Internal Medicine Physician
9835
PR
2085R0202X
Diagnostic Radiology Physician
Primary
5704
PR
208D00000X
General Practice Physician
13836
PR
208D00000X
General Practice Physician
16341
PR
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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