# DEPARTMENT OF VETERANS AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Juan VAMC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649365768
- **Authorized official:** DR. RAMON GUERRIDO MD (CHIEF OF STAFF FOR AMBULATORY CARE)
- **Authorized official phone:** (787) 641-7582

## Contact information

- **Practice address:** 10 CASIA ST., SAN JUAN, PR 00921-3201
- **Practice address phone:** (787) 641-7582
- **Practice address fax:** (787) 641-9518
- **Mailing address:** B-23 ADAMS ST., PARKVILLE SUR, GUAYNABO, PR 00969-4404
- **Mailing address phone:** (787) 731-9091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 005538 | PR | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/08/2008