Provider Demographics
NPI:1922883560
Name:HOLISTIC CARE VETERANS CENTER
Entity Type:Organization
Organization Name:HOLISTIC CARE VETERANS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNIOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:809-858-8142
Mailing Address - Street 1:PO BOX 60183
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33906-6183
Mailing Address - Country:US
Mailing Address - Phone:239-230-2273
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION TORRE ALTA
Practice Address - Street 2:NO. 21
Practice Address - City:PUERTO PLATA
Practice Address - State:DOMINICAN REPUBLIC
Practice Address - Zip Code:57000
Practice Address - Country:DO
Practice Address - Phone:809-858-8142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty