Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

La Vida Medical Group Hatillo Corp

Organization Clinical Psychologist · NPI 1033316856

La Vida Medical Group Hatillo Corp is a Clinical Psychologist in Hatillo, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2007.

Licensed in
PR
In the registry since
2007
Specialties on file
8
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

549 Calle Del Mar Ste 302
Hatillo, PR 00659-2869
Phone: (787) 880-2363
Fax: (787) 881-4312

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinical Psychologist Taxonomy 103TC0700X
Internal Medicine Physician Taxonomy 207R00000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
General Practice Physician Taxonomy 208D00000X · Licence 13836 (PR)
Podiatrist Taxonomy 213E00000X · Licence 000085 (PR)
Mammography Clinic/Center Taxonomy 261QR0206X

Record details

NPI number1033316856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Matos — Billing Manager · (787) 880-2363
Other names Los Angeles Medical Clinic
NPI enumeratedJune 27, 2007
Last updated in NPPESMay 16, 2008
Mailing address549 Calle Del Mar, Suite 302, Hatillo, PR 00659-2869

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