# CENTRO DE VACUNACION SAB

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

## Provider details

- **NPI number:** 1225560212
- **Authorized official:** DR. AFREDO GONZALEZ MD (VICE PRESIDENT)
- **Authorized official phone:** (787) 732-8595

## Contact information

- **Practice address:** 5 CALLE PEDRO ALBIZU CAMPOS, AGUAS BUENAS, PR 00703
- **Practice address phone:** (787) 732-0755
- **Practice address fax:** (787) 732-2205
- **Mailing address:** PO BOX 1490, AGUAS BUENAS, PR 00703-1490
- **Mailing address phone:** (787) 732-0755
- **Mailing address fax:** (787) 732-2205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 405300000X | Prevention Professional | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2017
- **Last updated:** 03/30/2017