# DOCTORS CENTER HOSPITAL SAN JUAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DOCTORS CENTER HOSPITAL SAN JUAN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205539558
- **Legal business name:** DOCTORS CENTER HOSPITAL SAN JUAN
- **Authorized official:** CARLOS BLANCO (CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (787) 854-3322

## Contact information

- **Practice address:** 1395 CALLE SAN RAFAEL, SAN JUAN, PR 00909-2518
- **Practice address phone:** (787) 999-7620
- **Mailing address:** PO BOX 30532, MANATI, PR 00674-8513
- **Mailing address phone:** (787) 854-3322
- **Mailing address fax:** (787) 621-3126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2023
- **Last updated:** 03/24/2023