| Gerivitality Holdings Llc | |
|
38 Calle Amistad Ste 2b Lajas PR 00667-2072 | |
| (787) 314-8430 | |
| Not Available |
| Full Name | Gerivitality Holdings Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 38 Calle Amistad Ste 2b, Lajas, Puerto Rico |
| Authorized Official Name and Position | Faudes Ileana Lugo Morales (PRESIDENT) |
| Authorized Official Contact | 7873148430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerivitality Holdings Llc Po Box 560 Lajas PR 00667-0560 Ph: (787) 314-8430 | Gerivitality Holdings Llc 38 Calle Amistad Ste 2b Lajas PR 00667-2072 Ph: (787) 314-8430 |
| NPI Number | 1164276929 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164276929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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