| Centro Vacunin | |
|
161 Calle Cesar Gonzalez Apdo 17 Pavilion Court San Juan PR 00917 | |
| (787) 604-2468 | |
| Not Available |
| Full Name | Centro Vacunin |
|---|---|
| Speciality | Clinic/Center |
| Location | 161 Calle Cesar Gonzalez Apdo 17, San Juan, Puerto Rico |
| Authorized Official Name and Position | Juan Torres (PRESIDENT) |
| Authorized Official Contact | 7876042468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Vacunin 161 Calle Cesar Gonzalez Apdo 17 Pavilion Court San Juan PR 00917 Ph: () - | Centro Vacunin 161 Calle Cesar Gonzalez Apdo 17 Pavilion Court San Juan PR 00917 Ph: (787) 604-2468 |
| NPI Number | 1417345612 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 12/23/2014 |
| Medicare PECOS PAC ID | 8921413626 |
|---|---|
| Medicare Enrollment ID | O20210210001300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417345612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 71826 (Puerto Rico) | Primary |
| Provider Name | Nelson C Diaz Baez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558457218 PECOS PAC ID: 8426088683 Enrollment ID: I20050817000369 |
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