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Organization

VITALIFERA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIRIAM RIVERA MENDOZA MD (OWNER / MANAGING MEMBER)
(787) 600-1138
Entity
Organization

Contact information

Practice address
2525 AVENIDA EDUARDO RUBERTE, OFICINA 101, PONCE, PR 00728-1739
(787) 259-5990
Mailing address
PO BOX 7757, PONCE, PR 00732-7757
(787) 600-1138

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
05/12/2026
Last updated
05/12/2026
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