# AFSC OF SAN JUAN, PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro de Cirugia Ambulatoria del Pie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730582792
- **Authorized official:** EGIDIO MONTANILE (PRESIDENT)
- **Authorized official phone:** (787) 724-0871

## Contact information

- **Practice address:** 1413 AVE FERNANDEZ JUNCOS, SUITE 1A, SAN JUAN, PR 00909-2649
- **Practice address phone:** (787) 724-0871
- **Practice address fax:** (787) 724-0886
- **Mailing address:** PO BOX 19657, SAN JUAN, PR 00910-1657
- **Mailing address phone:** (787) 724-0871
- **Mailing address fax:** (787) 724-0886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 16 | PR | Yes |

## Other

- **Enumeration date:** 10/06/2014
- **Last updated:** 10/06/2014