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Organization
CENTRO DE VACUNACION DEL NORTE LLC
Active
Organization
CENTRO DE VACUNACION DEL NORTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SANTANA OLIVO (PRESIDENTE)
(787) 461-9275
Entity
Organization
Contact information
Practice address
BO SABANA CARR 693 KM 14, VEGA ALTA, PR 00692
(787) 461-9275
Mailing address
R11 CALLE BRISAS, DORADO, PR 00646-2160
(787) 461-9275
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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