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Organization

VACUVIDA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC H QUIRINDONGO (ADMINISTRATOR)
(787) 543-1482
Entity
Organization

Contact information

Practice address
C&C PROFESIONAL PLAZA, CARR 335 KM 1.5 LOCAL 3, YAUCO, PR 00698
(787) 543-1482
Mailing address
URB HACIENDA FLORIDA CALLE JAZMIN #695, YAUCO, PR 00698
(787) 237-8623

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QH0100X
Health Service Clinic/Center
Primary
261QI0500X
Infusion Therapy Clinic/Center
261QP0905X
State or Local Public Health Clinic/Center

Other

Enumeration date
02/15/2021
Last updated
05/20/2021
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