Provider Demographics
NPI:1871383703
Name:QUIROVIDA LLC
Entity type:Organization
Organization Name:QUIROVIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZQUEZ RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-341-9877
Mailing Address - Street 1:HC 3 BOX 31742
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9772
Mailing Address - Country:US
Mailing Address - Phone:787-341-9877
Mailing Address - Fax:
Practice Address - Street 1:CARR #2 KM 134.1 INT 417 BO. GUANABANO
Practice Address - Street 2:EDIFICIO PUCHO POOL CENTER LOCAL 208
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:787-341-9877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center