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
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