# SAN JUAN AGING CENTER

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

## Provider details

- **NPI number:** 1295000347
- **Authorized official:** DR. JOSEFA COTTO (SUP. DEP DE FACTURACION)
- **Authorized official phone:** (787) 480-3876

## Contact information

- **Practice address:** 1187 CALLE 46 SE, URBANIZACION REPARTO METROPOLITANO, SAN JUAN, PR 00921-2625
- **Practice address phone:** (787) 480-5402
- **Practice address fax:** (787) 764-9904
- **Mailing address:** 1187 CALLE 46 SE, REPARTO METROPOLITANO, SAN JUAN, PR 00921-2625
- **Mailing address phone:** (787) 480-5402
- **Mailing address fax:** (787) 649-9904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 25487 | PR | Yes |

## Other

- **Enumeration date:** 03/21/2012
- **Last updated:** 03/21/2012