# CLINICA VACUNACION Y MEDICA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MENNONITE GENERAL HOSPITAL INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275887473
- **Legal business name:** MENNONITE GENERAL HOSPITAL INC
- **Authorized official:** LISSETTE VAZQUEZ (BILLING SUPERVISOR)
- **Authorized official phone:** (787) 535-1001

## Contact information

- **Practice address:** A2 CALLE DR TROYER, AIBONITO, PR 00705-3304
- **Practice address phone:** (787) 535-1001
- **Practice address fax:** (787) 535-1021
- **Mailing address:** PO BOX 372800, CAYEY, PR 00737-2800
- **Mailing address phone:** (787) 535-1001
- **Mailing address fax:** (787) 535-1021

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2012
- **Last updated:** 11/09/2012