Organization
NEW VERSION WELLNESS CLINIC
Active
Organization
NEW VERSION WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAN J VARGAS BERNIER (PRESIDENT)
(954) 998-8611
Entity
Organization
Contact information
Practice address
572 CALLE CESAR GONZALEZ, HATO REY, PR 00919-0000
(954) 998-8611
(787) 686-6048
Mailing address
572 CALLE CESAR GONZALEZ, HATO REY, PR 00919
(954) 998-8611
Taxonomy
Speciality
Code
Description
License number
State
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
Primary
18973
PR
Other
Enumeration date
07/31/2015
Last updated
08/26/2015
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