Organization
VITAL-CARE MEDICAL CENTER L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A AFANADOR (ADMINISTRATOR)
(787) 954-7777
Entity
Organization
Contact information
Practice address
CARRETERA 14 KM 49, LAS DELICIAS, AIBONITO, PR 00705
(787) 954-7777
(787) 535-9394
Mailing address
PO BOX 399, AIBONITO, PR 00705-0399
(787) 954-7777
(787) 535-9394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QE0800X
Endoscopy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037405000
—
PR
Enumeration date
01/14/2015
Last updated
10/14/2024
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