| Vitamed Llc | |
|
Urb Montealto 101 Calle Membrillo Gurabo PR 00778-4070 | |
| (787) 243-2129 | |
| Not Available |
| Full Name | Vitamed Llc |
|---|---|
| Speciality | General Practice |
| Location | Urb Montealto, Gurabo, Puerto Rico |
| Authorized Official Name and Position | Jose J Martinez Santana (PRESIDENT) |
| Authorized Official Contact | 7872432129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitamed Llc G-5 Calle San Clemente Urb Notre Dame Caguas PR 00725-3914 Ph: (787) 243-2129 | Vitamed Llc Urb Montealto 101 Calle Membrillo Gurabo PR 00778-4070 Ph: (787) 243-2129 |
| NPI Number | 1679208961 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 08/08/2022 |
| Medicare PECOS PAC ID | 4688058894 |
|---|---|
| Medicare Enrollment ID | O20220907000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679208961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jose J Martinez Santana |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063643948 PECOS PAC ID: 5890820427 Enrollment ID: I20100320000178 |
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