Organization
SECCION A NINOS CON NECESIDADES ESPECIALES DE SALUD
Active
Parent organization
CENTRO DE VACUNACION DE ARECIBO
Other names
CENTRO PEDIATRICO DE ARECIBO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO DE VACUNACION DE ARECIBO
Authorized official
MRS. CAMREN R RODRIGUEZ MPA (DIRECTORA EJECUTIVA)
(787) 771-2100
Entity
Organization
Contact information
Practice address
CENTRO PEDIATRICO DE ARECIBO VACUNACION, AVENIDA SAN LUIS # 621, ARECIBO, PR 00616-3666
(787) 817-1245
(787) 879-9026
Mailing address
CENTRO PEDIATRICO DE ARECIBO VACUNACION, AVENIDA SAN LUIS # 621, ARECIBO, PR 00616-3666
(787) 817-1245
(787) 879-9026
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060524
MED
PR
01
—
3511863
MED Y TERAPIATAS
PR
01
—
6120147
MEDICO
PR
01
—
660433481-1G
GENTICISTA
PR
01
—
660433481-1Y
TERAPISTA
PR
01
—
S011
PEDIATRA
PR
01
—
S012
FISIOTERAPIA
PR
01
—
SH-10001
MED
PR
Enumeration date
11/12/2008
Last updated
11/12/2008
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