Organization Active NPI

Vacunas del Sur Incorporado

  • Clinic/Center
  • San German, PR
National Provider Identifier
1295385508
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VACUNAS DEL SUR INCORPORADO
Practice address
Ave Universidad Interamericana 187 Suite 109
San German, PR 00683
Phone
(787) 955-5525
NPI assigned
Sep 18, 2019
Last updated
Sep 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Marcos Rivera
Title
President
Phone
(787) 425-9012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

Ave Universidad Interamericana 187 Suite 109
San German, PR 00683

Mailing address

PO Box 7763
Ponce, PR 00732-7763
Phone (787) 425-9012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1295385508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7763",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327763",
            "telephone_number": "787-425-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE UNIVERSIDAD INTERAMERICANA 187 SUITE 109",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-955-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACUNAS DEL SUR INCORPORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-425-9012"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.