Provider Demographics
NPI:1679727853
Name:VIR GROUP SERVICE INC
Entity type:Organization
Organization Name:VIR GROUP SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL VILLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-718-8927
Mailing Address - Street 1:1172 S DIXIE HWY
Mailing Address - Street 2:SUITE 145
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2918
Mailing Address - Country:US
Mailing Address - Phone:786-718-8927
Mailing Address - Fax:
Practice Address - Street 1:1172 S DIXIE HWY
Practice Address - Street 2:SUITE 145
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2918
Practice Address - Country:US
Practice Address - Phone:786-718-8927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center