Organization
DEPARTAMENTO DE SALUD OFICIAL
Active
Other names
UDH
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE E MATTA SR. MHSA (EXECUTIVE DIRECTOR)
(787) 754-0101
Entity
Organization
Contact information
Practice address
CARR 22 AVE AMERICO MIRANDA BO MONACILLO, RIO PIEDRAS, PR 00921
(787) 754-0101
(787) 763-3684
Mailing address
PO BOX 2116, SAN JUAN, PR 00921-2116
(787) 753-7984
(787) 763-3684
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3
PR
282NC0060X
Critical Access Hospital
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030450011SJ
SANITARY LICENSE NUMBER
PR
01
—
04136
STATE CNC NUMBER
PR
01
—
3
STATE LINCENSE NUM.
PR
Enumeration date
05/27/2005
Last updated
10/04/2012
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