Healthcare Provider Details

I. General information

NPI: 1891841862
Provider Name (Legal Business Name): VIMAR THERAPY GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 03/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROBERTO CLEMENTE BLK 27 16 VILLA CAROLINA
CAROLINA PR
00987
US

IV. Provider business mailing address

PO BOX 2963
CAROLINA PR
00984-2963
US

V. Phone/Fax

Practice location:
  • Phone: 787-276-8123
  • Fax:
Mailing address:
  • Phone: 787-276-8123
  • Fax: 787-750-2148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number730
License Number StatePR

VIII. Authorized Official

Name: MRS. VILMA J VALENTIN
Title or Position: PHL
Credential: MD
Phone: 787-276-8123