Provider Demographics
NPI:1700542362
Name:WEST INFUSION CARE & SLIM BEAUTY SPA LLC
Entity type:Organization
Organization Name:WEST INFUSION CARE & SLIM BEAUTY SPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ZORIMA DE
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-602-6948
Mailing Address - Street 1:345 CALLE RAMON EMETERIO BETANCES
Mailing Address - Street 2:2DO PISO SUITE 201B
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-1287
Mailing Address - Country:US
Mailing Address - Phone:787-925-9355
Mailing Address - Fax:
Practice Address - Street 1:345 CALLE RAMON EMETERIO BETANCES
Practice Address - Street 2:2DO PISO SUITE 201B
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1287
Practice Address - Country:US
Practice Address - Phone:787-925-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy