Organization
GRUPO EMPRESAS DE SALUD DE SAN JUAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL VILLALOBOS (PRESIDENT)
(787) 767-8758
Entity
Organization
Contact information
Practice address
107 CALLE PADRE DE LAS CASA, URB EL VEDADO, HATO REY, SAN JUAN, PR 00918
(787) 908-6556
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
(787) 767-8758
(787) 250-9265
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IPA503
—
PR
Enumeration date
09/10/2007
Last updated
09/20/2007
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