Healthcare Provider Details

I. General information

NPI: 1033910617
Provider Name (Legal Business Name): VACUSALUD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 03/20/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 CALLE JOSE V RODRIGUEZ
PENUELAS PR
00624-1808
US

IV. Provider business mailing address

URBANIZACION EL ROSARIO CALLE SAGRADO CORAZON 123
YAUCO PR
00698
US

V. Phone/Fax

Practice location:
  • Phone: 787-543-2776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRANCHESKA PINTADO
Title or Position: MD
Credential:
Phone: 787-543-2776