Centro de Vacunacion Borinquen

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CENTRO DE VACUNACION BORINQUEN

Practice address

Carr. 107 KM 1.1
Bo. Borinquen
Aguadilla, PR 00603

Phone

(787) 819-3829

Fax

(787) 819-3829

NPI assigned

Mar 18, 2014

Last updated

Mar 18, 2014By 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

Aleyda Ivette Garcia, RNNPI 1104253574

Title

Administrator

Phone

(787) 819-3829

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aleyda Ivette Garcia, RN, ADN

  • Clinic/Center
  • Aguadilla, PR
  • NPI 1104253574
  NPD (past) Authorized official

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1255757084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4319",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054319",
            "telephone_number": "787-819-3829",
            "fax_number": "787-819-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 107 KM 1.1",
            "address_2": "BO. BORINQUEN",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-819-3829",
            "fax_number": "787-819-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE VACUNACION BORINQUEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ALEYDA",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-819-3829",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Aguadilla, PR
• Providers in Aguadilla, 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 Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.