Centro de Vacunacion Sabaneno

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CENTRO DE VACUNACION SABANENO

Doing business as

Centro de vacunacion Sabaneno

Practice address

Calle Angel G Martinez Esquina Francisco M Quinones
Sabana Grande, PR 00637

Phone

(939) 609-6637

Fax

(939) 910-7921

NPI assigned

May 12, 2022

Last updated

Aug 1, 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

Mr. Alex J Ramos

Title

President

Phone

(939) 609-6637

Specialties & licenses 1

Addresses

Other names 1

• Centro de vacunacion Sabaneno Doing business as

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": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1164168019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006370539",
            "telephone_number": "939-609-6637",
            "fax_number": "939-910-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ANGEL G MARTINEZ ESQUINA FRANCISCO M QUINONES",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "939-609-6637",
            "fax_number": "939-910-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE VACUNACION SABANENO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-609-6637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de vacunacion Sabaneno",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centro de vacunacion Sabaneno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Ivette Cabot
• Elizabeth Carcache, M.D.
• Luis A Casiano Sanchez, MD
• Edwin Casiano, M.D.
• Adelincel Castro, MA
• Centro Psicosocial Terapeutico del Suroeste Inc.
• Alejandro Cintron
• Juan Colon Padilla
• Juan A Comas Ortiz, MD
• Iraida Comas Ruiz, RN

• Health Service Clinic/Center in Sabana Grande, PR
• Providers in Sabana Grande, 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 Aug 1, 2023; 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.