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
CALLE FERNANDEZ JUNCOS ESQ. MOLINILLO, EDIF F, CAROLINA, PR 00986
(787) 767-8758
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31171
PROVIDER NUMBER
—
Enumeration date
07/19/2007
Last updated
07/19/2007
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