Organization
DEPARTAMENTO DE SALUD OFICIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE E MATTA SR. MHSA (EXECUTIVE DIRECTOR)
(787) 754-0101
Entity
Organization
Contact information
Practice address
HOSPITAL UNIVERSITARIO DE ADULTOS, MEDICAL CENTER, SAN JUAN, PR 00922-2116
(787) 754-0101
(787) 294-3609
Mailing address
HOSPITAL UNIVERSITARIO ADULTOS TERCER PISO, MEDICAL CENTER, SAN JUAN, PR 00922-2116
(787) 754-0101
(787) 294-3609
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
33
PR
Other
Enumeration date
01/17/2007
Last updated
09/25/2012
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