Organization
SERVICIOS MEDICOS SANTA JUANITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ADELA HERNANDEZ (ADMINISTRADORA)
(787) 225-8612
Entity
Organization
Contact information
Practice address
N71 AVE SANTA JUANITA, BAYAMON, PR 00956
(787) 995-7138
Mailing address
CD21 CALLE 24, URB REXVILLE, BAYAMON, PR 00957
(787) 225-8612
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9466
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
PR
Enumeration date
04/27/2018
Last updated
06/16/2018
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