Departamento De Salud Oficial
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in San Juan, PR. Organization (NPI-2).
NPI number1881746923
StatusActive
Last updated in NPPESSep 25, 2012
Details
- NPI
- 1881746923
- Entity type
- Organization (NPI-2)
- Legal business name
- Departamento De Salud Oficial
- Organization subpart
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Sep 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 33 | PR | Yes |
Practice location
Hospital Universitario De AdultosMedical Center
San Juan, PR 00922-2116
Phone 787-754-0101 · Fax 787-294-3609
Mailing address
Hospital Universitario Adultos Tercer PisoMedical Center
San Juan, PR 00922-2116
Phone 787-754-0101 · Fax 787-294-3609
Authorized official
Jorge E Matta
Executive Director
7877540101
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