Organization
GRUPO DE 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
EDIF JESUS T PINERO, ESQ MOLINILLO, CAROLINA, PR 00987
(787) 767-8758
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2872
INTERNATIONAL
PR
Enumeration date
05/18/2007
Last updated
08/22/2020
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