Organization
OFICINA DE VACUNACION SANTA JUANITA
Active
Other names
IVAN CEREZO DE LA ROSA
Organization subpart
No
Provider details
NPI number
Authorized official
PALMIRA RUIZ (SECRETARY)
(787) 780-0391
Entity
Organization
Contact information
Practice address
DB35 CALLE DAMASCO, URB SANTA JUANITA, BAYAMON, PR 00956
(787) 780-0391
(787) 787-6403
Mailing address
DB35 CALLE DAMASCO, URB SANTA JUANITA, BAYAMON, PR 00956-5313
(787) 780-0391
(787) 787-6403
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
522463
PR
Other
Enumeration date
03/19/2013
Last updated
05/07/2013
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