Active NPI
Vacunas del Sur Incorporado
- Clinic/Center
- San German, PR
National Provider Identifier
1295385508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2019
- 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
- Marcos Rivera
- Title
- President
- Phone
- (787) 425-9012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.