Organization
CENTRO DE VACUNACION BETANCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS SANTOS (ADMINISTRADORA)
(787) 638-5738
Entity
Organization
Contact information
Practice address
AVENIDA BETANCES #194, HERMANAS DAVILAS, BAYAMON, PR 00956
(787) 638-5738
Mailing address
195 CALLE ALMACIGO, MONTECASINO, TOA ALTA, PR 00953-3708
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19226
TRIPLE S
PR
Enumeration date
09/16/2006
Last updated
07/21/2022
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