1386448801 NPI number — SUPPORTIVE AND TRANSITION CARE

Table of content: (NPI 1386448801)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386448801 NPI number — SUPPORTIVE AND TRANSITION CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUPPORTIVE AND TRANSITION CARE
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:
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:
1386448801
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB SABANERA DEL RIO
Provider Second Line Business Mailing Address:
#403 CAMINO LAS TRINITARIAS
Provider Business Mailing Address City Name:
GURABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00778
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-718-2747
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1789 CARR 21 STE 101
Provider Second Line Business Practice Location Address:
HOSPITAL METROPOLITANO
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00921-3334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-718-2747
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2025

Additional Information

Authorized Official

Authorized Official Last Name:
GARCIA
Authorized Official First Name:
VICTOR
Authorized Official Middle Name:
RUIZ
Authorized Official Title or Position:
PRESIDENTE
Authorized Official Telephone Number:
787-718-2747

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207QH0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com