| NPI | 1073167771 |
|---|---|
| Former Legal Business Name | CLINICA VITALIZA CORP. |
| Entity Type | Organization |
| Authorized Contact | JOHARYS K AYBAR CRUZ Presidente 787-627-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |