# CENTRO DE VACUNACION BUENA FE

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

## Provider details

- **NPI number:** 1487997292
- **Authorized official:** MRS. IRIS VANESSA VELEZ M.D. (DOCTORA)
- **Authorized official phone:** (787) 432-6579

## Contact information

- **Practice address:** CALLE MARIO BRASCHI\#5, JUANA DIAZ, PR 00795
- **Practice address phone:** (939) 630-2242
- **Mailing address:** P.O. BOX 1705, JUANA DIAZ, PR 00795

## Taxonomy

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

## Other

- **Enumeration date:** 03/29/2013
- **Last updated:** 03/29/2013