# CENTRO DE VACUNACION DEL OESTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114104569
- **Authorized official:** MRS. ELIZABETH SOTO LORENZO (PRESIDENTA-ADMINISTRADORA)
- **Authorized official phone:** (787) 313-4242

## Contact information

- **Practice address:** CARRETERA 107 VICTORIA, ANASCO, PR 00610-0740
- **Practice address phone:** (787) 313-4242
- **Practice address fax:** (787) 826-9700
- **Mailing address:** PO BOX 740, ANASCO, PR 00610-0740
- **Mailing address phone:** (787) 313-4242
- **Mailing address fax:** (787) 826-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 01/29/2008