Organization · NPI-2
Vega Alta Medical Services
Clinic/Center · Vega Alta, PR
NPI number1386745479
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1386745479
- Entity type
- Organization (NPI-2)
- Legal business name
- Vega Alta Medical Services
- Organization subpart
- No
- Enumeration date
- Sep 25, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 31 | – | Yes |
Practice location
Marginal #1 Urb Santa RitaVega Alta, PR 00692
Phone 787-883-0995
Mailing address
Box 1360Vega Alta, AR 00692
Phone 787-270-1345 · Fax 787-270-1350
Authorized official
Ivan Millon
Administrator
7878830995
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