Active NPI
Vacunas Bright Center Inc.
- Health Maintenance Organization
- Ponce, PR
National Provider Identifier
1245686757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 371932
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180125001196 | PR | Part B Supplier - Mass Immunization (Roster Biller Only) | 6204195928 | Practice locations: Mayaguez, PR |
National Provider Directory
National Provider DirectoryNPI 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.