Organization
GRUPO EMPRESAS DE SALUD DE SAN JUAN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL VILLALOBOS (PRESIDENT)
(787) 294-7801
Entity
Organization
Contact information
Practice address
107 CALLE PADRE DE LAS CASAS, URB. EL VEDADO, SAN JUAN, PR 00918
(787) 294-7801
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6018
DENTAL
PR
Enumeration date
12/17/2007
Last updated
12/17/2007
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