SAN JUAN AGING CENTER NPI 1023099793

NPI Information

  • NPI: 1023099793
  • Provider Name: SAN JUAN AGING CENTER
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Doing Business As: SOCIAL MEDICAL COMPLEX ANTILLAS
  • Address: AVE. 65 INFANTERY BO. SABANA LLANA
    SAN JUAN, PR
    ZIP 00929
  • Phone: (787) 764-9124

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NPI Details

SAN JUAN AGING CENTER is a nursing facility intermediate care facility in San Juan, PR. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. SAN JUAN AGING CENTER NPI is 1023099793. The provider is registered as an organization entity type.
The provider Is Doing Business As Social Medical Complex Antillas.

The provider's business location address is:

AVE. 65 INFANTERY BO. SABANA LLANA
SAN JUAN, PR
ZIP 00929
Phone: (787) 764-9124
Fax: (787) 764-9904

The provider's authorized official is Maritza Vega .
The authorized official title is Executive Director and has the following contact phone number (787) 764-9124.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12501325OTHERPUERTO RICOACCA
29900144OTHERPUERTO RICOACCA
34500121OTHERPUERTO RICOACCA
4P113OTHERPUERTO RICOFIRST MEDICAL
568650-41041OTHERPUERTO RICOCRUZ AZUL
6001365OTHERPUERTO RICOAMERICAN HEALTH
7820953OTHERPUERTO RICOMMM
840081OTHERPUERTO RICOPREFERRED MEDICARE CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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