Organization
CENTRO DE VACUNACION DEL NORTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SANTANA OLIVO (PRESIDENTE)
(787) 461-9275
Entity
Organization
Contact information
Practice address
BO SABANA CARR 693 KM 14, VEGA ALTA, PR 00692
(787) 461-9275
Mailing address
R11 CALLE BRISAS, DORADO, PR 00646-2160
(787) 461-9275
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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