NPIMap

Organization Active NPI

Centro de Vacunacion

  • Multi-Specialty Clinic/Center
  • Caguas, PR
National Provider Identifier
1083993745
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CENTRO DE VACUNACION
Practice address
Calle Munoz Rivera # 3
Caguas, PR 00725-1357
Phone
(787) 552-1219
Fax
(787) 745-0108
NPI assigned
Aug 12, 2011
Last updated
Aug 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. Roberto J Gandara, MD
Title
Presidente
Phone
(787) 552-1219

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

Calle Munoz Rivera # 3
Caguas, PR 00725-1357

Mailing address

P O Bob 1357
Caguas, PR 00726-1357
Phone (787) 552-1219

National Provider Directory

National Provider Directory
Tax ID family
Tiger Med Corp7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1083993745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOB 1357",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261357",
            "telephone_number": "787-552-1219",
            "fax_number": "787-745-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MUNOZ RIVERA # 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251357",
            "telephone_number": "787-552-1219",
            "fax_number": "787-745-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE VACUNACION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "GANDARA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-552-1219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.