Organization
VITA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL J ORTIZ MD (PRESIDENT)
(787) 618-7696
Entity
Organization
Contact information
Practice address
1451 AVE DR. ASHFORD, SAN JUAN, PR 00907
(787) 893-3411
Mailing address
PO BOX 1945, JUNCOS, PR 00777-1945
(787) 893-3411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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