1154391415 NPI number — MUNICIPALITY OF SAN JUAN PR

Table of content: (NPI 1154391415)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154391415 NPI number — MUNICIPALITY OF SAN JUAN PR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MUNICIPALITY OF SAN JUAN PR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154391415
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 21405
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00928-1405
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-480-3876
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CENTRO MEDICO BO. MONACILLOS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-766-2222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CLAS
Authorized Official First Name:
LUIS
Authorized Official Middle Name:
V
Authorized Official Title or Position:
CEO/ EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
787-480-3838

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10044 . This is a "TRIPLESHOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 18044 . This is a "TRIPLESCIRUGIAAMBULATORIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 500007 . This is a "HUMANAHOSPITALREFORMA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 7712 . This is a "INTERNATIONALMEDICALCARD" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 9280026 . This is a "HUMANAHEALTHPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 19044 . This is a "TRIPLESSALAURGENCIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30134 . This is a "TRIPLESLABORATORIORADIOLY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5007002 . This is a "ACCA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 670007 . This is a "HUMANACIRUGIAAMBULATORIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 300015 . This is a "UTI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30775 . This is a "CRUZ AZUL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 400122 . This is a "MEDICALONE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 5000335 . This is a "ACCAHOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: SH100 . This is a "UIA" identifier . This identifiers is of the category "OTHER".




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