Organization
CENTRO DE VACUNACION ZAIDANIS
Active
Organization
CENTRO DE VACUNACION ZAIDANIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENNISS HERNANDEZ MATIAS (OWNER/ADMINISTRATOR)
(939) 366-8190
Entity
Organization
Contact information
Practice address
CARR 402 KM 4.5 BO PINALES, ANASCO, PR 00610
(939) 366-8190
Mailing address
RR 2 BOX 2634, ANASCO, PR 00610-9408
(939) 366-8190
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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