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LA VIDA MEDICAL GROUP HATILLO CORP NPI 1033316856


NPI Information

NPI: 1033316856
Provider Name: LA VIDA MEDICAL GROUP HATILLO CORP

Other Name: LOS ANGELES MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
549 CALLE DEL MAR
SUITE 302
HATILLO, PR
ZIP 00659
Phone: (787) 880-2363
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LA VIDA MEDICAL GROUP HATILLO CORP is a family medicine in Hatillo, PR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LA VIDA MEDICAL GROUP HATILLO CORP NPI is 1033316856. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Los Angeles Medical Clinic.

The provider's business location address is:

549 CALLE DEL MAR
SUITE 302
HATILLO, PR
ZIP 00659-869
Phone: (787) 880-2363
Fax: (787) 881-4312

The provider's authorized official is Diana I Matos .
The authorized official title is Billing Manager and has the following contact phone number (787) 880-2363.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 5/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseNo
3208100000XPhysical Medicine & RehabilitationNo
4208D00000XGeneral Practice13836PUERTO RICONo
5213E00000XPodiatrist000085PUERTO RICONo
6261QR0206XClinic/CenterRadiology, MammographyNo
7103TC0700XPsychologistClinicalNo
8207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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