CENTRO TRATAMIENTO AMBULATORIO SAN JUAN; NPI #1295954022

Contact Information

CENTRO TRATAMIENTO AMBULATORIO SAN JUAN

CENTRO MEDICO
CALLE MAGA
SAN JUAN, PR 00922

Phone: 787-753-0665
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for CENTRO TRATAMIENTO AMBULATORIO SAN JUAN

NPI #	`1295954022`
LBN Legal business name	CENTRO TRATAMIENTO AMBULATORIO SAN JUAN
Authorized official	IVAN UMPIERRE - (DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/24/2007
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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