# SAN JUAN VAMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UTUADO VA OOS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619375870
- **Authorized official:** ERIN POTTER (NPI TEAM MEMBER)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** CALLE ISAAC GONZALEZ, ESQUINA LEDESMA, UTUADO, PR 00641-2635
- **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:** 12/19/2014
- **Last updated:** 03/28/2023