| NPI | 1306631643 |
|---|---|
| Former Legal Business Name | CENTRO DE VACUNACION LA PROMESA LLC |
| Entity Type | Organization |
| Authorized Contact | ABIMAEL ORTIZ AVILES President 939-264-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |