Vacunas Health Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

VACUNAS HEALTH CLINIC LLC

Practice address

Jardines Fagot
Calle Amaranta B15
Ponce, PR 00716

Phone

(787) 298-2795

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Christine Camara Calvo

Title

President

Phone

(787) 298-2795

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": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1205439262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JARDINES FAGOT",
            "address_2": "CALLE AMARANTA B15",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-298-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JARDINES FAGOT",
            "address_2": "CALLE AMARANTA B15",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-298-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACUNAS HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "CAMARA CALVO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-298-2795"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urosalud, P.S.C.
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• Dayanet Urrutia Diaz
• Vaccines 360 LLC
• Vacunas Bright Center Inc.
• Vacunas Plus Ponce, Inc
• Vacunas Xpress
• Vacunas Xpress Inc
• Kamila Valeria Vadell Johnson
• Nicole Marie Valdes

• Health Service Clinic/Center in Ponce, PR
• Providers in Ponce, 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 Nov 20, 2020; 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.