Advance Vaccine Center
Organization Active NPI Clinic/Center · Gurabo, PR
NPI 1780967786 · NPPES record last updated Sep 26, 2011
Key facts
- NPI
- 1780967786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 303521 (PR)
- Legal business name
- ADVANCE VACCINE CENTER
- Practice address
- Urb Praderas de Navarro, 341 Calle Serpentina
Gurabo, PR 00778-9078 - Phone
- (787) 430-9979
- NPI assigned
- Sep 26, 2011
- Organization subpart
- No
Authorized official
- Name
- Antonio Iglesias
- Title
- President
- Phone
- (787) 430-9979
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 303521 | PR | Yes |
Addresses
Primary practice location
Urb Praderas de Navarro, 341 Calle Serpentina
Gurabo, PR 00778-9078
Mailing address
Urb Praderas de Navarro, 341 Calle Serpentina
Gurabo, PR 00778-9078
Phone (787) 430-9979
Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.