# DEPARTAMENTO DE SALUD OFICIAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro de Vacunacion Esteban Calderon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912450735
- **Authorized official:** MR. PRUDENCIO A LAUREANO SR. (EXECUTIVE DIRECTORS)
- **Authorized official phone:** (787) 787-5151

## Contact information

- **Practice address:** 100 AVE LAUREL, SANTA JUANITA, BAYAMON, PR 00956-4816
- **Practice address phone:** (787) 787-5151
- **Practice address fax:** (787) 786-6165
- **Mailing address:** 100 AVE LAUREL, SANTA JUANITA, BAYAMON, PR 00956
- **Mailing address phone:** (787) 787-5151
- **Mailing address fax:** (787) 786-6165

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2016
- **Last updated:** 07/28/2016