# SAN JUAN VAMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CEIBA VA CBOC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275801029
- **Authorized official:** MRS. ERIN POTTER (NPI TEAM MEMBER)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** BUILDING LOT \#3, PR-3 KM 54.9, PUEBLO WARD, CEIBA, PR 00735-9998
- **Practice address phone:** (866) 793-4591
- **Mailing address:** PO BOX 94469, CLEVELAND, OH 44101-4469
- **Mailing address phone:** (866) 793-4591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2011
- **Last updated:** 03/28/2023