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General NPI Number Information
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NPI Number | 1912587064
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Entity Type | Organization
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Legal Business Name | CENTRO VACUNITAS FELIZ CORP
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 09/06/2021
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Provider Practice Location Address
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Address Line | URBANIZACION BAIROA AD1 CALLE RODRIGO DE TRIANA
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-466-4550
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Fax |
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Provider Business Mailing Address
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Address Line | URBANIZACION BAIROA AD1 CALLE RODRIGO DE TRIANA
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-466-4550
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Fax |
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Authorized Official
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Title or Position | ADMINISTRADOR
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Name | MARKIS A INFANTE FLORES
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Credential | LICENCIA
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Telephone | 787-466-4550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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