Organization
ST JUDE URGENCY CARE GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR E JACA (CEO)
(787) 614-0736
Entity
Organization
Contact information
Practice address
1214 CALLE JOSE ABAD, CLUB MANOR, RIO PIEDRAS, PR 00924-4336
(787) 257-0765
(787) 757-3439
Mailing address
PO BOX 9117, PLAZA CAROLINA STATION, CAROLINA, PR 00988-9117
(787) 614-0736
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
PR
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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