| Advance Vaccine Center | |
|
Urb Praderas De Navarro, 341 Calle Serpentina Gurabo PR 00778-9078 | |
| (787) 430-9979 | |
| Not Available |
| Full Name | Advance Vaccine Center |
|---|---|
| Speciality | Clinic/center |
| Location | Urb Praderas De Navarro, 341 Calle Serpentina, Gurabo, Puerto Rico |
| Authorized Official Name and Position | Antonio Iglesias (PRESIDENT) |
| Authorized Official Contact | 7874309979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Vaccine Center Urb Praderas De Navarro, 341 Calle Serpentina Gurabo PR 00778-9078 Ph: (787) 430-9979 | Advance Vaccine Center Urb Praderas De Navarro, 341 Calle Serpentina Gurabo PR 00778-9078 Ph: (787) 430-9979 |
| NPI Number | 1780967786 |
|---|---|
| Provider Enumeration Date | 09/26/2011 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780967786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 303521 (Puerto Rico) | Primary |
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