Provider Demographics
NPI:1467745232
Name:VITASS INTERNATIONAL, LLC
Entity Type:Organization
Organization Name:VITASS INTERNATIONAL, LLC
Other - Org Name:CARE4U DE PUERTO RICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LABAULT
Authorized Official - Suffix:
Authorized Official - Credentials:ARCH
Authorized Official - Phone:787-776-8316
Mailing Address - Street 1:110 CALLE PEDRO ARZUAGA E
Mailing Address - Street 2:VILLAS DEL CENTRO, LOC. COM
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-6167
Mailing Address - Country:US
Mailing Address - Phone:787-776-8316
Mailing Address - Fax:787-276-0730
Practice Address - Street 1:110 CALLE PEDRO ARZUAGA E
Practice Address - Street 2:VILLAS DEL CENTRO, LOC. COM
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-6167
Practice Address - Country:US
Practice Address - Phone:787-776-8316
Practice Address - Fax:787-276-0730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2371011CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health