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Organization

ADVANCE VACCINE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTONIO IGLESIAS (PRESIDENT)
(787) 430-9979
Entity
Organization

Contact information

Practice address
URB PRADERAS DE NAVARRO, 341 CALLE SERPENTINA, GURABO, PR 00778-9078
(787) 430-9979
Mailing address
URB PRADERAS DE NAVARRO, 341 CALLE SERPENTINA, GURABO, PR 00778-9078
(787) 430-9979

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
303521
PR

Other

Enumeration date
09/26/2011
Last updated
09/26/2011
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