# CENTRO DE VACUNACION DR. HECTOR SANTIAGO

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

## Provider details

- **NPI number:** 1275872525
- **Authorized official:** MRS. VELIA MARTINEZ DE SANTIAGO (ADMINISTRATOR)
- **Authorized official phone:** (787) 796-1719

## Contact information

- **Practice address:** 321 CALLE MENDEZ VIGO, DORADO, PR 00646-4929
- **Practice address phone:** (787) 796-1719
- **Mailing address:** PO BOX 68, BAYAMON, PR 00960-0068
- **Mailing address phone:** (787) 796-1719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 3155 | PR | Yes |

## Other

- **Enumeration date:** 02/06/2013
- **Last updated:** 12/20/2013
