# EMPRESA MUNICIPAL SALUD INTEGRAL DE LA TIERRA ALTA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VACUNACION EMPRESA MUNICIPAL SALUD INTEGRAL DE LA TIERRA ALTA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942687850
- **Authorized official:** MRS. WANDA I ZAMORA (GERENTE ADMINISTRATIVO)
- **Authorized official phone:** (787) 828-0305

## Contact information

- **Practice address:** 2 CALLE ROSANTA AULET, JAYUYA, PR 00664-1328
- **Practice address phone:** (787) 828-0305
- **Practice address fax:** (787) 828-0901
- **Mailing address:** PO BOX 410, JAYUYA, PR 00664-0410
- **Mailing address phone:** (787) 828-0305
- **Mailing address fax:** (787) 828-0901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QV0200X | VA Clinic/Center | 116 | PR | — |

## Other

- **Enumeration date:** 04/29/2015
- **Last updated:** 04/27/2021