Centro de Vacunacion del Noroeste, Inc.

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

License

1134 Issued in PR

Legal business name

CENTRO DE VACUNACION DEL NOROESTE, INC.

Practice address

Lirio F-3 BZN.27
Urb. Vistas de San Loenzo
San Lorenzo, PR 00754

Phone

(787) 736-7539

Fax

(787) 736-7539

NPI assigned

Apr 17, 2007

Last updated

Aug 7, 2008By 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

Mr. Fuad S. Alba

Title

Presidente

Phone

(787) 736-7539

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1316163843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7003",
            "address_2": "CAGUAS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007267003",
            "telephone_number": "787-736-7539",
            "fax_number": "787-736-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIRIO F-3 BZN.27",
            "address_2": "URB. VISTAS DE SAN LOENZO",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-7539",
            "fax_number": "787-736-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE VACUNACION DEL NOROESTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "ALBA",
        "authorized_official_first_name": "FUAD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-736-7539",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "PR",
            "license": "1134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Jomar Carrera
• Osvaldo Carriles
• Valerie Carrion
• Cemi Ambulance System Corp.
• Centro de Imagenes Sonograficas
• Centro Ryder San Lorenzo
• Centro Ryder San Lorenzo Vacunacion
• Karilyn Claudio-Navarro
• Maribel Contreras
• Gustavo Cordero Garcia, M.D.

• VA Clinic/Center in San Lorenzo, PR
• Providers in San Lorenzo, PR by specialty
• VA Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.