| Organization Name: | USVI MEDICAL DAY SPA, LLC |
| NPI Number: | 1063787844 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RYAN D WALLACE (MEMBER) |
| Mailing Address: | 4001 Raphune Hill Rd Suite 108 St Thomas |
| State: | VI US |
| Postal Code: | 008022905 |
| Phone Number: | 3407742331 |
| Fax Number: | 3407742353 |
| NPI Enumeration Date: | 03/13/2012 |
| NPI Last Update Date: | 03/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |