Centro Vacunitas Feliz Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CENTRO VACUNITAS FELIZ CORP

Practice address

Urbanizacion Bairoa
Ad1 Calle Rodrigo de Triana
Caguas, PR 00725

Phone

(787) 466-4550

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Markis A Infante Flores, LICENCIA

Title

Administrador

Phone

(787) 466-4550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630886400000",
    "number": "1912587064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION BAIROA",
            "address_2": "AD1 CALLE RODRIGO DE TRIANA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-466-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION BAIROA",
            "address_2": "AD1 CALLE RODRIGO DE TRIANA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-466-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "By8 Calle 129",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "009832125",
            "country_code": "US",
            "telephone_number": "787-466-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRO VACUNITAS FELIZ CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-09-06",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "INFANTE FLORES",
        "authorized_official_first_name": "MARKIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-466-4550",
        "authorized_official_credential": "LICENCIA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Caguas, PR
• Providers in Caguas, 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 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.