# CENTRO DE VACUNACION DEL NOROESTE, INC.

> 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:** 1316163843
- **Authorized official:** MR. FUAD S. ALBA (PRESIDENTE)
- **Authorized official phone:** (787) 736-7539

## Contact information

- **Practice address:** LIRIO F-3 BZN.27, URB. VISTAS DE SAN LOENZO, SAN LORENZO, PR 00754
- **Practice address phone:** (787) 736-7539
- **Practice address fax:** (787) 736-7539
- **Mailing address:** PO BOX 7003, CAGUAS, CAGUAS, PR 00726-7003
- **Mailing address phone:** (787) 736-7539
- **Mailing address fax:** (787) 736-7539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | 1134 | PR | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/07/2008