Organization
MUNICIPALITY OF SAN JUAN PR
Active
Other names
San Juan Aging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERTO GONZALEZ LIC 1745 (SUB-DIRECTOR)
(787) 480-3851
Entity
Organization
Contact information
Practice address
AVE. 65TH INFANTERIA BO. SABANA LLANA, SAN JUAN, PR 00929
(787) 764-9124
(787) 764-9904
Mailing address
PO BOX 29395, SAN JUAN, PR 00929-0395
(787) 764-9124
(787) 764-9904
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001365
AMERICAN HEALTH
PR
01
—
2501325
ACCA
PR
01
—
40081
PREFERRED MEDICARE CHOICE
PR
01
—
4500121
ACCA
PR
01
—
6865041041
CRUZ AZUL
PR
01
—
820953
MMM
PR
01
—
9900144
ACCA
PR
01
—
P-113
FIRST MEDICAL
PR
Enumeration date
11/21/2005
Last updated
05/17/2013
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