# CENTRO DE VACUNACION BETANCES

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

## Provider details

- **NPI number:** 1396841193
- **Authorized official:** DORIS SANTOS (ADMINISTRADORA)
- **Authorized official phone:** (787) 638-5738

## Contact information

- **Practice address:** AVENIDA BETANCES \#194, HERMANAS DAVILAS, BAYAMON, PR 00956
- **Practice address phone:** (787) 638-5738
- **Mailing address:** 195 CALLE ALMACIGO, MONTECASINO, TOA ALTA, PR 00953-3708

## Taxonomy

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

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 19226 | TRIPLE S | PR |