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Sgto. Gerardo Santiago St. #4 State Road #14 Interior Aibonito PR 00705-1379 | |
| (787) 735-6102 | |
| (787) 735-6190 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Sgto. Gerardo Santiago St. #4, Aibonito, Puerto Rico |
| Authorized Official Name and Position | Marta R Mercado (ADMINISTRATOR) |
| Authorized Official Contact | 7877356102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1379 Aibonito PR 00705-1379 Ph: (787) 735-6102 | Sgto. Gerardo Santiago St. #4 State Road #14 Interior Aibonito PR 00705-1379 Ph: (787) 735-6102 |
| NPI Number | 1932266673 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932266673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Vital-care Medical Center L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Carretera 14 Km 49, Las Delicias, Aibonito, PR 00705 Phone: 787-954-7777 Fax: 787-535-9394 | |
Vital-care Medical Center L.l.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Carretera 14 Km 49, Las Delicias, Aibonito, PR 00705 Phone: 787-954-7777 Fax: 787-535-9394 | |