MEDICARE: VC HEALTHCARE CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)

General Provider Information

NPI Number	:	1700838869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VC HEALTHCARE CORP

Provider Business Mailing Address
First Line	:	PO BOX 195076
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00919-5076
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 CALLE QUEBRADILLAS
Second Line	:	BONNEVILLE HEIGHTS
City	:	CAGUAS
State	:	PR
Zip	:	00727-4925
Country	:	US
Telephone Number	:	787-745-5511
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. SONIA M GUZMAN
Credential	:
Telephone Number	:	787-745-5511

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/22/2020

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Directions to “VC HEALTHCARE CORP ” Practice Location

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