Healthcare Provider Details

I. General information

NPI: 1376459636
Provider Name (Legal Business Name): ENDOCARE VMT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

METRO PAVIA CLINIC BELLA VISTA AD-10 CARR MARGINAL 167
BAYAMON PR
00961-9998
US

IV. Provider business mailing address

METRO PAVIA CLINIC BELLA VISTA AD-10 CARR MARGINAL 167
BAYAMON PR
00961-9998
US

V. Phone/Fax

Practice location:
  • Phone: 787-665-0200
  • Fax:
Mailing address:
  • Phone: 787-665-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: VALERIE MALDONADO TORRES
Title or Position: OWNER
Credential: MD
Phone: 787-690-8444