# SECCION A NINOS CON NECESIDADES ESPECIALES DE SALUD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRO DE VACUNACION DE ARECIBO
- **Other names:** CENTRO PEDIATRICO DE ARECIBO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831343276
- **Legal business name:** CENTRO DE VACUNACION DE ARECIBO
- **Authorized official:** MRS. CAMREN R RODRIGUEZ MPA (DIRECTORA EJECUTIVA)
- **Authorized official phone:** (787) 771-2100

## Contact information

- **Practice address:** CENTRO PEDIATRICO DE ARECIBO VACUNACION, AVENIDA SAN LUIS \# 621, ARECIBO, PR 00616-3666
- **Practice address phone:** (787) 817-1245
- **Practice address fax:** (787) 879-9026
- **Mailing address:** CENTRO PEDIATRICO DE ARECIBO VACUNACION, AVENIDA SAN LUIS \# 621, ARECIBO, PR 00616-3666
- **Mailing address phone:** (787) 817-1245
- **Mailing address fax:** (787) 879-9026

## Taxonomy

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

## Other

- **Enumeration date:** 11/12/2008
- **Last updated:** 11/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 060524 | MED | PR |
| 01 | — | 3511863 | MED Y TERAPIATAS | PR |
| 01 | — | 6120147 | MEDICO | PR |
| 01 | — | 660433481-1G | GENTICISTA | PR |
| 01 | — | 660433481-1Y | TERAPISTA | PR |
| 01 | — | S011 | PEDIATRA | PR |
| 01 | — | S012 | FISIOTERAPIA | PR |
| 01 | — | SH-10001 | MED | PR |