Provider Demographics
NPI:1477253599
Name:VINCIT MED AND AESTHETICS LLC
Entity type:Organization
Organization Name:VINCIT MED AND AESTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-443-0049
Mailing Address - Street 1:3000 CENTRAL BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8959
Mailing Address - Country:US
Mailing Address - Phone:956-443-0049
Mailing Address - Fax:956-443-0042
Practice Address - Street 1:3000 CENTRAL BLVD STE 3
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8959
Practice Address - Country:US
Practice Address - Phone:956-443-0049
Practice Address - Fax:956-443-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty