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Contact Information

SAN JUAN AGING CENTER
AVE. 65 INFANTERY BO. SABANA LLANA
SAN JUAN, PR00929
 Phone: 787-764-9124
 Fax: 787-764-9904
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for SAN JUAN AGING CENTER

NPI Number 1023099793
LBN Legal business name SAN JUAN AGING CENTER
Authorized official MARITZA VEGA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
PR Other 2501325 ACCA
PR Other 4500121 ACCA
PR Other 9900144 ACCA
PR Other 001365 AMERICAN HEALTH
PR Other 68650-41041 CRUZ AZUL
PR Other P113 FIRST MEDICAL
PR Other 820953 MMM
PR Other 40081 PREFERRED MEDICARE CHOICE
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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