Healthcare Provider Details

I. General information

NPI: 1386892933
Provider Name (Legal Business Name): VITA HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VITA HEALTHCARE INC 607A CALLE DEL PARQUE
SAN JUAN PR
00909-2307
US

IV. Provider business mailing address

PO BOX 8310
SAN JUAN PR
00910-0310
US

V. Phone/Fax

Practice location:
  • Phone: 787-723-8482
  • Fax: 209-205-9499
Mailing address:
  • Phone: 787-723-8482
  • Fax: 209-205-9499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JUAN L SALGADO
Title or Position: CEO-PRESIDENTE
Credential: MD- F.A.C.O.G
Phone: 787-723-8482