Centro de Vacunacion Zaidanis

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CENTRO DE VACUNACION ZAIDANIS

Practice address

Carr 402 KM 4.5 Bo Pinales
Anasco, PR 00610

Phone

(939) 366-8190

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Enniss Hernandez Matias

Title

Owner/Administrator

Phone

(939) 366-8190

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1053189126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 2634",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006109408",
            "telephone_number": "939-366-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 402 KM 4.5 BO PINALES",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "939-366-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE VACUNACION ZAIDANIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ MATIAS",
        "authorized_official_first_name": "ENNISS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "939-366-8190"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Castro
• Centro de Curaciones San Peregrino Inc
• Centro de Vacunacion de la Policlinica de Anasco
• Centro de Vacunacion del Oeste
• Centro de Vacunacion Y Servivios Integrados de Salud,Inc.
• Centro Integrado de Servicios Psicologicos, CP
• Centro Vision
• Champi Medical and Wellness Group
• Champi Medical and Wellness Group Corp
• Champi Physician Services LLC

• Health Service Clinic/Center in Anasco, PR
• Providers in Anasco, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.