Organization
VACUNAS DEL SUR INCORPORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS RIVERA (PRESIDENT)
(787) 425-9012
Entity
Organization
Contact information
Practice address
AVE UNIVERSIDAD INTERAMERICANA 187 SUITE 109, SAN GERMAN, PR 00683
(787) 955-5525
Mailing address
PO BOX 7763, PONCE, PR 00732-7763
(787) 425-9012
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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