Organization
ST JUDE NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR E JACA (CHIEF EXECUTIVE OFFICER)
(787) 776-3013
Entity
Organization
Contact information
Practice address
1214 CALLE JOSE ABAD, SAN JUAN, PR 00924-4336
(787) 776-3013
(787) 762-9334
Mailing address
PO BOX 9117, CAROLINA, PR 00988-9117
(787) 776-3013
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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