Organization
CENVAC CORPORATION
Active
Other names
Centro Vacunacion Familiar Vida
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NORIANN RIVERA (ADMINISTRATOR)
(347) 673-3037
Entity
Organization
Contact information
Practice address
N26 URB TOA ALTA HEIGHTS, AVENIDA PRINCIPAL OFC 1, TOA ALTA, PR 00953
(347) 673-3037
Mailing address
229 VILLA CAPARRA EXECUTIVE, CARRETERA 2 APT 1H, GUAYNABO, PR 00966
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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