Abc Vacuna T Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ABC VACUNA T INC

Practice address

A4 Ave Degetau
Caguas, PR 00725-4340

Phone

(787) 501-8042

NPI assigned

Oct 25, 2022

Last updated

Oct 27, 2022By 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

Miss Barbara De Lourdes Bravo, RN

Title

Registered Nurse

Phone

(787) 932-0800

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1730806100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9525",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269525",
            "telephone_number": "787-501-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A4 AVE DEGETAU",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007254340",
            "telephone_number": "787-501-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC VACUNA T INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "DE LOURDES",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "787-932-0800",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WORD",
            "affiliation": "N",
            "endpointDescription": "Letter",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "A4 Ave Degetau",
            "city": "Caguas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007254340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Absolife Inc.
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• Health Service Clinic/Center in Caguas, PR
• Providers in Caguas, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.