NPIMap

Organization Active NPI

Oficina de Vacunacion Santa Juanita

  • Clinic/Center
  • Bayamon, PR
National Provider Identifier
1760724645
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
522463 Issued in PR
Legal business name
OFICINA DE VACUNACION SANTA JUANITA
Practice address
DB35 Calle Damasco
Urb Santa Juanita
Bayamon, PR 00956
Phone
(787) 780-0391
Fax
(787) 787-6403
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Palmira Ruiz
Title
Secretary
Phone
(787) 780-0391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 522463 PR Primary

Addresses

Primary practice location

DB35 Calle Damasco
Urb Santa Juanita
Bayamon, PR 00956

Mailing address

DB35 Calle Damasco
Urb Santa Juanita
Bayamon, PR 00956-5313
Phone (787) 780-0391

Other names 1

  • IVAN CEREZO DE LA ROSA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro de Vacunacion Vega Baja2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1760724645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DB35 CALLE DAMASCO",
            "address_2": "URB SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009565313",
            "telephone_number": "787-780-0391",
            "fax_number": "787-787-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DB35 CALLE DAMASCO",
            "address_2": "URB SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-780-0391",
            "fax_number": "787-787-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFICINA DE VACUNACION SANTA JUANITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "PALMIRA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-780-0391"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "522463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVAN CEREZO DE LA ROSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.