Gerivitality Holdings LLC
NPI #1164276929 in Lajas, Puerto Rico
Provider Information
- NPI Number
- 1164276929
- Entity Type
- Organization
- Organization Name
- Gerivitality Holdings LLC
- Primary Specialty
- Internal Medicine - Geriatric Medicine
- Enumeration Date
- Apr 16, 2024
- Last Updated
- Dec 28, 2024
Practice Location
- Address
- 38 CALLE AMISTAD STE 2B
- City
- Lajas
- State
- Puerto Rico
- ZIP Code
- 00667-2072
- Phone
- (787) 718-0566
Authorized Official
- Name
- FAUDES ILEANA LUGO MORALES, MD
- Title
- PRESIDENT
- Phone
- (787) 314-8430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
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