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GRUPO EMPRESAS DE SALUD DE SAN JUAN INC NPI 1679768964


NPI Information

NPI: 1679768964
Provider Name: GRUPO EMPRESAS DE SALUD DE SAN JUAN, INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
107 CALLE PADRE DE LAS CASA
URB EL VEDADO, HATO REY
SAN JUAN, PR
ZIP 00918
Phone: (787) 908-6556
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GRUPO EMPRESAS DE SALUD DE SAN JUAN, INC is a community health clinic center in San Juan, PR. GRUPO EMPRESAS DE SALUD DE SAN JUAN, INC NPI is 1679768964. The provider is registered as an organization entity type.

The provider's business location address is:

107 CALLE PADRE DE LAS CASA
URB EL VEDADO, HATO REY
SAN JUAN, PR
ZIP 00918
Phone: (787) 908-6556

The provider's authorized official is Raul Villalobos .
The authorized official title is President and has the following contact phone number (787) 767-8758.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 9/20/2007.


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
1261QC1500XClinic/CenterCommunity HealthYes

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
1IPA503MEDICAIDPUERTO RICO

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: 5/5/2024

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