Centro de Vacunacion de Aguadilla

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

12658 Issued in PR

Legal business name

CENTRO DE VACUNACION DE AGUADILLA

Practice address

Edificio Hernandez
Ste # 1
Aguadilla, PR 00603

Phone

(787) 891-4851

Fax

(787) 891-4851

NPI assigned

Apr 26, 2007

Last updated

Aug 22, 2020By 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

Mrs. Miriam Acevedo

Title

Office Manager

Phone

(787) 891-4851

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871713487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5080",
            "address_2": "STE. # 167",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006055080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO HERNANDEZ",
            "address_2": "STE # 1",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-891-4851",
            "fax_number": "787-891-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE VACUNACION DE AGUADILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "787-891-4851",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "12658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH DEPARTMENT PIN NUM",
            "identifier": "1139",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Centro de Servicios Psicologicos Puentes
• Centro de Vacunacion Borinquen
• Centro de Vacunacion Familiar LLC
• Centro Oftalmologico Lopez, PSC
• Centro Otorrinolaringologia del Noroeste, CSP
• Centro Psicologico LLC
• Cesar Santiago (Laboratorio Clinico Bacteriologico Borinque)

• Health Service Clinic/Center in Aguadilla, PR
• Providers in Aguadilla, 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 Aug 22, 2020; 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.