Provider Demographics
NPI:1912754854
Name:SANJONA MEDICAL CENTER INC
Entity type:Organization
Organization Name:SANJONA MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-663-7087
Mailing Address - Street 1:2828 S SEACREST BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7944
Mailing Address - Country:US
Mailing Address - Phone:954-663-7087
Mailing Address - Fax:
Practice Address - Street 1:2828 S SEACREST BLVD STE 104
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7944
Practice Address - Country:US
Practice Address - Phone:954-663-7087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center