# CENTRO DE VACUNACION DR. ADALBERTO LUGO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1164693198
- **Authorized official:** DR. ADALBERTO LUGO BONETA MD (DIRECTOR)
- **Authorized official phone:** (787) 829-2023

## Contact information

- **Practice address:** JOAQUIN ANDINO 14 C ST, ADJUNTAS, PR 00601
- **Practice address phone:** (787) 829-2023
- **Practice address fax:** (787) 829-2569
- **Mailing address:** JOAQUIN ANDINO 14 C ST, ADJUNTAS, PR 00601
- **Mailing address phone:** (787) 829-2023
- **Mailing address fax:** (787) 829-2569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 6266 | PR | Yes |

## Other

- **Enumeration date:** 03/18/2008
- **Last updated:** 03/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 27215 | SSS PROVIDER ID | PR |