Centro De Vacunacion Vega Baja

NPI #1003254582 in Vega Baja, Puerto Rico

Provider Information

NPI Number: 1003254582
Entity Type: Organization
Organization Name: Centro De Vacunacion Vega Baja
Primary Specialty: Clinic/Center
Enumeration Date: Jun 6, 2013
Last Updated: Jun 6, 2013

Practice Location

Address: 2 AVE. #107 OFFICE, WILMA N. VAZQUEZ
City: Vega Baja
State: Puerto Rico
ZIP Code: 00693
Phone: (787) 855-0031

Authorized Official

Name: DR. IVAN A CEREZO, M.D
Title: DOCTOR
Phone: (787) 855-0031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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