Advance Vaccine Center
Clinic/Center in Gurabo, PR. Organization (NPI-2).
NPI number1780967786
StatusActive
Last updated in NPPESSep 26, 2011
Details
- NPI
- 1780967786
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Vaccine Center
- Organization subpart
- No
- Enumeration date
- Sep 26, 2011
- Last updated
- Sep 26, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 303521 | PR | Yes |
Practice location
Urb Praderas De Navarro, 341 Calle SerpentinaGurabo, PR 00778-9078
Phone 787-430-9979
Mailing address
Urb Praderas De Navarro, 341 Calle SerpentinaGurabo, PR 00778-9078
Phone 787-430-9979
Authorized official
Antonio Iglesias
President
7874309979
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 5 Clinic/Center providers in Gurabo · All 430 providers in Gurabo
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