Provider Demographics
NPI:1225214372
Name:VACUNACION AL DIA NINOS Y ADULTOS
Entity Type:Organization
Organization Name:VACUNACION AL DIA NINOS Y ADULTOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENFERMERA GRADUADA/ADMINISTRADORA
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:DE LOURDES
Authorized Official - Last Name:RIVERA-HANCE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:787-701-5860
Mailing Address - Street 1:VILLA CAROLINA 18TH STREET BLQ 22 # 2
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-701-5860
Mailing Address - Fax:
Practice Address - Street 1:VILLA CAROLINA CALLE 18 BLQ. 22 #2
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-701-5860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service