La Vida Medical Group Hatillo Corp
NPI #1326219650 in Hatillo, Puerto Rico
Provider Information
- NPI Number
- 1326219650
- Entity Type
- Organization
- Organization Name
- La Vida Medical Group Hatillo Corp
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 14, 2008
- 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 |
|---|
| Clinical Medical Laboratory |
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