Centro de Vacunacion del Oeste

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CENTRO DE VACUNACION DEL OESTE

Practice address

Carretera 107 Victoria
Anasco, PR 00610-0740

Phone

(787) 313-4242

Fax

(787) 826-9700

NPI assigned

Jan 29, 2008

Last updated

Jan 29, 2008By 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

Mrs. Elizabeth Soto Lorenzo

Title

Presidenta-Administradora

Phone

(787) 313-4242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1114104569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100740",
            "telephone_number": "787-313-4242",
            "fax_number": "787-826-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 107 VICTORIA",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100740",
            "telephone_number": "787-313-4242",
            "fax_number": "787-826-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE VACUNACION DEL OESTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SOTO",
        "authorized_official_title_or_position": "PRESIDENTA-ADMINISTRADORA",
        "authorized_official_telephone_number": "787-313-4242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Castillo Soto
• Victor M Castillo, M.T.
• Miriam Castro
• Centro de Curaciones San Peregrino Inc
• Centro de Vacunacion de la Policlinica de Anasco
• Centro de Vacunacion Y Servivios Integrados de Salud,Inc.
• Centro de Vacunacion Zaidanis
• Centro Integrado de Servicios Psicologicos, CP
• Centro Vision
• Champi Medical and Wellness Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.