Provider Demographics
NPI:1962213249
Name:MVGP INFUSION INC
Entity type:Organization
Organization Name:MVGP INFUSION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:GARCIA PALLAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-407-3333
Mailing Address - Street 1:2900 CARR 834 APT 4049
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9314
Mailing Address - Country:US
Mailing Address - Phone:787-381-5858
Mailing Address - Fax:
Practice Address - Street 1:1507 PONCE DE LEON AVENUE
Practice Address - Street 2:LA CASA SUITE 101
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-407-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy