Provider Demographics
NPI:1154391415
Name:MUNICIPALITY OF SAN JUAN PR
Entity type:Organization
Organization Name:MUNICIPALITY OF SAN JUAN PR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:V
Authorized Official - Last Name:CLAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-480-3838
Mailing Address - Street 1:PO BOX 21405
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-1405
Mailing Address - Country:US
Mailing Address - Phone:787-480-3876
Mailing Address - Fax:
Practice Address - Street 1:CENTRO MEDICO BO. MONACILLOS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-766-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR10044OtherTRIPLESHOSPITAL
PR18044OtherTRIPLESCIRUGIAAMBULATORIA
PR500007OtherHUMANAHOSPITALREFORMA
PR7712OtherINTERNATIONALMEDICALCARD
9280026OtherHUMANAHEALTHPLAN
19044OtherTRIPLESSALAURGENCIA
30134OtherTRIPLESLABORATORIORADIOLY
PR5007002OtherACCA
PR670007OtherHUMANACIRUGIAAMBULATORIA
300015OtherUTI
PR30775OtherCRUZ AZUL
PR400122OtherMEDICALONE
PR5000335OtherACCAHOSPITAL
SH100OtherUIA
PR400122OtherMEDICALONE
=========OtherCIGNA
PR18044OtherTRIPLESCIRUGIAAMBULATORIA
PR30775OtherCRUZ AZUL
PR=========OtherCOSVIMED
SH100OtherUIA