Healthcare Provider Details

I. General information

NPI: 1679977359
Provider Name (Legal Business Name): CITA SALUD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2014
Last Update Date: 10/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JARD DE VALENCIA CALLE PEREIRA LEAL APARTAMENTO 108
SAN JUAN PR
00923-1901
US

IV. Provider business mailing address

JARD DE VALENCIA CALLE PERERIRA LEGAL APARTAMENTO 108
SAN JUAN PR
00923-1901
US

V. Phone/Fax

Practice location:
  • Phone: 787-380-3048
  • Fax:
Mailing address:
  • Phone: 787-380-3048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MRS. EILEEN L RIVAS
Title or Position: PRESIDENTA
Credential:
Phone: 787-380-3048