Organization
COMPLEJO MEDICO SOCIAL HOME CARE
Active
Other names
Complejo Medico Social Antillas
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARITZA VEGA RN,BSN,MSN,MBA/HCM (EXECUTIVE DIRECTOR)
(787) 764-9124
Entity
Organization
Contact information
Practice address
AVE. 65TH INFANTERIA BO. SABANA LLANA, SAN JUAN, PR 00929
(787) 764-9124
(787) 764-9904
Mailing address
AVE. 65TH INFANTERIA BO. SABANA LLANA, PO BOX 29395, SAN JUAN, PR 00929
(787) 764-9124
(787) 764-9904
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40081
PREFERRED MEDICARE CHOICE
PR
01
—
820953
MMM
PR
Enumeration date
11/21/2005
Last updated
06/18/2009
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