NPI 1043700743

Medivida

Organisation Family Medicine Physician San Juan, PR

Practice location

Address: 407b Calle Juan a Davila Suite 2, San Juan, PR 00918
Phone: (787) 504-5005
Mailing address: PO Box 16474, San Juan, PR 00908-6474

Authorised official

Name: Heileene Torres Colberg
Title: Partner
Phone: (787) 396-5050

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Puerto Rico →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Puerto Rico →

Registry record

NPI: 1043700743
Entity type: Organization
NPI issued: 17 May 2018
Record last updated: 17 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.