Organization
SAN JUAN PRIMARY HEALTH CARE PROVIDERS, LLC
Active
Organization
SAN JUAN PRIMARY HEALTH CARE PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTIAGO ELI MEDINA-MANGUAL M.D. (OWNER)
(787) 760-0770
Entity
Organization
Contact information
Practice address
CARRETERA 844 KM 4.2 BO. CUPEY BAJO, SAN JUAN, PR 00926
(787) 760-0770
Mailing address
LE 93 VIA PARIS L'ANTIGUA, TRUJILLO ALTO, PR 00976
(787) 760-0770
(787) 760-0770
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
02/04/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up