Healthcare Provider Details

I. General information

NPI: 1811600554
Provider Name (Legal Business Name): VINCI MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2022
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. EMERITO ESTRADA RIVERA KM. 21 9 CARR. 125
SAN SEBASTIAN PR
00685-0068
US

IV. Provider business mailing address

PO BOX 333
SAN SEBASTIAN PR
00685-0333
US

V. Phone/Fax

Practice location:
  • Phone: 787-896-7777
  • Fax:
Mailing address:
  • Phone: 787-412-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: VINCENZO FERRANTE RUIZ
Title or Position: OWNER/ADMINISTRATIVE
Credential:
Phone: 787-412-7111