Organization
SAN JUAN MEDICAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER REYES (PRESIDENT)
(787) 821-0210
Entity
Organization
Contact information
Practice address
CARRETERA 116 KM 24 6, GUANICA, PR 00653
(787) 821-0210
(787) 821-4433
Mailing address
PO BOX 5102, YAUCO, PR 00698-5102
(787) 821-0210
(787) 821-4433
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
08P2295
PR
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57159
TRIPLE S
PR
Enumeration date
06/30/2006
Last updated
09/11/2025
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