# US COAST GUARD SECTOR SAN JUAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184603714
- **Authorized official:** DR. HUMBERTO HERNANDEZ M.D. (CHIEF, HEALTH SERVICES DIVISION)
- **Authorized official phone:** (787) 729-2305

## Contact information

- **Practice address:** 5 CALLE LA PUNTILLA, U.S. COAST GUARD SECTOR SAN JUAN CLINIC COMMANDING OFFI, SAN JUAN, PR 00901-1818
- **Practice address phone:** (787) 729-2305
- **Mailing address:** 5 CALLE LA PUNTILLA, U.S. COAST GUARD SECTOR SAN JUAN CLINIC COMMANDING OFFI, SAN JUAN, PR 00901-1818
- **Mailing address phone:** (787) 729-2305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 10478 | PR | Yes |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 08/22/2020