VITAL-CARE MEDICAL CENTER L.L.C.

Provider Demographics

• NPI: 1326607466
• Name: VITAL-CARE MEDICAL CENTER L.L.C.
• Entity Type: Organization
• Organization Name: VITAL-CARE MEDICAL CENTER L.L.C.
• Authorized Official - Title/Position: ADMINISTRATOR
• Authorized Official - First Name: DAVID
• Authorized Official - Last Name: AFANADOR
• Authorized Official - Phone: 787-954-7777
• Mailing Address - Street 1: PO BOX 399
• Mailing Address - City: AIBONITO
• Mailing Address - State: PR
• Mailing Address - Zip Code: 00705-0399
• Mailing Address - Country: US
• Mailing Address - Phone: 787-954-7777
• Mailing Address - Fax: 787-535-9394
• Practice Address - Street 1: CARRETERA 14 KM 49
• Practice Address - Street 2: LAS DELICIAS
• Practice Address - City: AIBONITO
• Practice Address - State: PR
• Practice Address - Zip Code: 00705
• Practice Address - Country: US
• Practice Address - Phone: 787-954-7777
• Practice Address - Fax: 787-535-9394
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2019-06-12
• Last Update Date: 2023-10-16

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TA0400X	Behavioral Health & Social Service Providers	Psychologist	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	103TB0200X	Behavioral Health & Social Service Providers	Psychologist	Cognitive & Behavioral	Group - Multi-Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	103TC1900X	Behavioral Health & Social Service Providers	Psychologist	Counseling	Group - Multi-Specialty
No	103TC2200X	Behavioral Health & Social Service Providers	Psychologist	Clinical Child & Adolescent	Group - Multi-Specialty
No	103TE1100X	Behavioral Health & Social Service Providers	Psychologist	Exercise & Sports	Group - Multi-Specialty
No	103TF0000X	Behavioral Health & Social Service Providers	Psychologist	Family	Group - Multi-Specialty
No	103TH0004X	Behavioral Health & Social Service Providers	Psychologist	Health	Group - Multi-Specialty
No	103TH0100X	Behavioral Health & Social Service Providers	Psychologist	Health Service	Group - Multi-Specialty
No	103TM1800X	Behavioral Health & Social Service Providers	Psychologist	Intellectual & Developmental Disabilities	Group - Multi-Specialty
No	103TP0814X	Behavioral Health & Social Service Providers	Psychologist	Psychoanalysis	Group - Multi-Specialty
No	103TP2701X	Behavioral Health & Social Service Providers	Psychologist	Group Psychotherapy	Group - Multi-Specialty
No	103TR0400X	Behavioral Health & Social Service Providers	Psychologist	Rehabilitation	Group - Multi-Specialty
No	103TS0200X	Behavioral Health & Social Service Providers	Psychologist	School	Group - Multi-Specialty