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Vida Plus Medical Clinic, Csp

Specialist in Guaynabo, PR. Organization (NPI-2).

NPI number1831450717
StatusActive
Last updated in NPPESFeb 3, 2015

Details

NPI
1831450717
Entity type
Organization (NPI-2)
Legal business name
Vida Plus Medical Clinic, Csp
Organization subpart
No
Enumeration date
Jun 6, 2012
Last updated
Feb 3, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes
302R00000X Health Maintenance Organization13839PR

Practice location

Ave. Fco. Corretjer Narvaez, Lote 21, Calle E,
Edf. Caribbean Cinemas, Suite 201
Guaynabo, PR 00970-3925

Phone 787-731-4949

Mailing address

Ave. Fco. Corretjer Narvaez, Lote 21, Calle E,
Edf. Caribbean Cinemas, Suite 201
Guaynabo, PR 00970

Phone 787-731-4949

Authorized official

Joseph S. Campos
President
7877314949

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