# CENTRO DE VACUNACION Y SERVIVIOS INTEGRADOS DE SALUD,INC.

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

## Provider details

- **NPI number:** 1255879474
- **Authorized official:** MR. ADOLFO MATIAS (ADMINISTRATOR)
- **Authorized official phone:** (787) 229-1110

## Contact information

- **Practice address:** CARRETERA 402 4.6KM, BOX PINALES, ANASCO, PR 00610
- **Practice address phone:** (787) 229-1110
- **Practice address fax:** (787) 229-1110
- **Mailing address:** RR 2 BOX 2725, ANASCO, PR 00610-9602
- **Mailing address phone:** (787) 229-1110
- **Mailing address fax:** (787) 229-1110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 029804 | PR | Yes |
| 261QP2300X | Primary Care Clinic/Center | 14771 | PR | — |

## Other

- **Enumeration date:** 02/08/2017
- **Last updated:** 02/08/2017