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Calle Sargento Gerardo Santiago Carretera 14 Interior Aibonito PR 00705-1379 | |
| (787) 535-1001 | |
| (787) 535-1114 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Calle Sargento Gerardo Santiago Carretera 14 Interior, Aibonito, Puerto Rico |
| Authorized Official Name and Position | Lissette Vasquez Rivera (DIRECTORA FACTYRACION Y COBRO) |
| Authorized Official Contact | 7654341700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 871 Aibonito PR 00705-0871 Ph: (787) 434-1700 | Calle Sargento Gerardo Santiago Carretera 14 Interior Aibonito PR 00705-1379 Ph: (787) 535-1001 |
| NPI Number | 1619363397 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619363397 | NPI | - | NPPES |
| 6 | Other | PR | LICENCIA SALUD |
| 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 | |