Healthcare Provider Details

I. General information

NPI: 1154556660
Provider Name (Legal Business Name): CITA-MED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 05/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3H8 CALLE 105 MONTE BRISAS 3
FAJARDO PR
00738-3431
US

IV. Provider business mailing address

3H8 CALLE 105 MONTE BRISAS 3
FAJARDO PR
00738-3431
US

V. Phone/Fax

Practice location:
  • Phone: 787-552-8370
  • Fax: 787-863-2418
Mailing address:
  • Phone: 787-552-8370
  • Fax: 787-863-2418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSE A FIGUEROA
Title or Position: PRESIDENT
Credential:
Phone: 787-552-8370