Organization
ESTETICA BUENA VIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AXEL SOTO RAMOS LMT (PRESIDENT)
(787) 478-9286
Entity
Organization
Contact information
Practice address
142 CARR 102 # KM18.8, CABO ROJO, PR 00623-3138
(787) 313-3551
Mailing address
94 CALLE FRANCISCO GALANES, MAYAGUEZ, PR 00680-5214
(787) 313-3551
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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