# GRUPO MEDICO SAN CARLOS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1356506844
- **Authorized official:** MRS. DAISY VILLA (ADMINISTRATOR)
- **Authorized official phone:** (787) 268-4433

## Contact information

- **Practice address:** 1866 AVE PONCE DE LEON, SAN JUAN, PR 00909-2010
- **Practice address phone:** (787) 268-4433
- **Practice address fax:** (787) 726-1828
- **Mailing address:** BOX 19209, FDEZ JUNCOS STATION, SAN JUAN, PR 00910-1209
- **Mailing address phone:** (787) 268-4433
- **Mailing address fax:** (787) 726-1828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 09-B-3148 | PR | Yes |

## Other

- **Enumeration date:** 07/23/2008
- **Last updated:** 09/16/2008