Centro De Vacunacion De Guaynabo
Clinic/Center in Guaynabo, PR. Organization (NPI-2).
NPI number1891916060
StatusActive
Last updated in NPPESAug 7, 2008
Details
- NPI
- 1891916060
- Entity type
- Organization (NPI-2)
- Legal business name
- Centro De Vacunacion De Guaynabo
- Organization subpart
- No
- Enumeration date
- May 2, 2007
- Last updated
- Aug 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 9816 | PR | Yes |
Practice location
70 Calle CarazoGuaynabo Pueblo
Guaynabo, PR 00969-5606
Phone 787-287-7973 · Fax 787-287-7973
Mailing address
70 Calle CarazoGuaynabo, PR 00969-5606
Phone 787-287-7973 · Fax 787-287-7973
Authorized official
Ivan A Cerezo
Propieteario
7872877973
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