Organization Active NPI

Vacunas Bright Center Inc.

  • Health Maintenance Organization
  • Ponce, PR
National Provider Identifier
1245686757
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
371932 Issued in PR
Legal business name
VACUNAS BRIGHT CENTER INC.
Practice address
936 Calle Dolores Marchand
Villas de Rio Canas
Ponce, PR 00728
Phone
(787) 432-7090
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Ms. Dania L Colon
Title
President
Phone
(787) 298-2795

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PR
Health Maintenance Organization 302R00000X 371932 PR Primary

Addresses

Primary practice location

936 Calle Dolores Marchand
Villas de Rio Canas
Ponce, PR 00728

Mailing address

936 Calle Dolores Marchand
Villas de Rio Canas
Ponce, PR 00728
Phone (787) 298-2795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180125001196 PR Part B Supplier - Mass Immunization (Roster Biller Only) 6204195928 Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1245686757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 CALLE DOLORES MARCHAND",
            "address_2": "VILLAS DE RIO CANAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-298-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 CALLE DOLORES MARCHAND",
            "address_2": "VILLAS DE RIO CANAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-432-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACUNAS BRIGHT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "DANIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-298-2795",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "371932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.