SAN JUAN VAMC NPI 1275801029

NPI Information

  • NPI: 1275801029
  • Provider Name: SAN JUAN VAMC
  • Classification: Clinic/Center - 261QV0200X
  • Specialization: VA
  • Entity Type: Organization
  • Other Name: CEIBA VA CBOC
  • CLIA Number: 40D2038750
  • Address: BUILDING LOT #3
    PR-3 KM 54.9, PUEBLO WARD
    CEIBA, PR
    ZIP 00735
  • Phone: (866) 793-4591

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NPI Details

SAN JUAN VAMC is a va clinic center in Ceiba, PR. SAN JUAN VAMC NPI is 1275801029. The provider is registered as an organization entity type.
The provider Other Name Is Ceiba Va Cboc.

The provider's business location address is:

BUILDING LOT #3
PR-3 KM 54.9, PUEBLO WARD
CEIBA, PR
ZIP 00735-998
Phone: (866) 793-4591

The provider's authorized official is Erin Potter .
The authorized official title is Npi Team Member and has the following contact phone number (202) 382-2579.

The CLIA number assigned to this NPI record is 40D2038750 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 3/28/2023.

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
1261QV0200XClinic/CenterVAYes

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: 3/30/2025

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