Organization
FOREVER YOUNG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIBEL DUPONT (PRESIDENTE)
(787) 509-8850
Entity
Organization
Contact information
Practice address
BO. QUEBRADA LARGA CARR # 2 KM 142.2, ANASCO, PR 00610
(787) 826-3636
Mailing address
PO BOX 2093, ANASCO, PR 00610-2093
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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