Basic Information
| Provider Information | |||||||||
| NPI: | 1750667572 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MUNICIPALITY OF SAN JUAN PR DIRECTOR DE FINANZAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | PMB 79 PO BOX 70344 | ||||||||
| Address2: | SAN JUAN CITY HOSPITAL | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877568535 | ||||||||
| FaxNumber: | 7877643643 | ||||||||
| Practice Location | |||||||||
| Address1: | CENTRO MEDICO, BO. MONACILLOS | ||||||||
| Address2: | SAN JUAN CITY HOSPITAL | ||||||||
| City: | RIO PIEDRAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877568535 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2011 | ||||||||
| LastUpdateDate: | 08/30/2018 | ||||||||
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| AuthorizedOfficialLastName: | BOISSEN-ALVAREZ | ||||||||
| AuthorizedOfficialFirstName: | MYRNA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7877568535 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | M.H.S.A. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1300X | 30 | PR | N | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | 282N00000X | 30 | PR | Y | Hospitals | General Acute Care Hospital |
No ID Information.