La Vida Medical Group Hatillo Corp

NPI #1033316856 in Hatillo, Puerto Rico

Provider Information

NPI Number: 1033316856
Entity Type: Organization
Organization Name: La Vida Medical Group Hatillo Corp
Primary Specialty: Family Medicine
Enumeration Date: Jun 27, 2007
Last Updated: May 16, 2008

Practice Location

Address: 549 CALLE DEL MAR
Address 2: SUITE 302
City: Hatillo
State: Puerto Rico
ZIP Code: 00659-2869
Phone: (787) 880-2363

Authorized Official

Name: MRS. DIANA I MATOS
Title: BILLING MANAGER
Phone: (787) 880-2363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Internal Medicine	207R00000X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Physical Medicine & Rehabilitation	208100000X
General Practice	208D00000X
Podiatrist	213E00000X
Clinic/Center - Radiology, Mammography — Radiology, Mammography	261QR0206X
Family Medicine	207Q00000X	Primary

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