Advance Vaccine Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

303521 Issued in 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

Last updated

Sep 26, 2011By 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

Antonio Iglesias

Title

President

Phone

(787) 430-9979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1780967786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PRADERAS DE NAVARRO, 341 CALLE SERPENTINA",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007789078",
            "telephone_number": "787-430-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PRADERAS DE NAVARRO, 341 CALLE SERPENTINA",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007789078",
            "telephone_number": "787-430-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE VACCINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-430-9979"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "303521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Acevedo
• Nelson Joel Acevedo, RN BSN
• David Acosta Vargas
• Felix M Acosta, MD
• Advance Therapy Group PSC
• Advanced Life System LLC
• Javier Aguayo
• Natalia Cristina Albarracin Marrero, MS CCC-SLP
• Albita S Lab Corporation
• Omar Enrique Alicea-Velez, PH.D.

• Clinic/Center in Gurabo, PR
• Providers in Gurabo, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.