MEDICARE: SPECIAL CARE INFUSION CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QI0500X	Infusion Therapy Clinic/Center		PR

General Provider Information

NPI Number	:	1497707251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIAL CARE INFUSION CENTER, INC

Provider Business Mailing Address
First Line	:	CENTRO INTERNACIONAL DE MERCADEO CARR. 165
Second Line	:	TORRE 1 SUITE 305
City	:	GUAYNABO
State	:	PR
Zip	:	00968-0000
Country	:	US
Telephone Number	:	787-793-1600
Fax Number	:	787-792-7500

Provider Business Practice Location Address
First Line	:	CENTRO INTERNACIONAL DE MERCADEO CARR. 165
Second Line	:	TORRE 1 SUITE 305
City	:	GUAYNABO
State	:	PR
Zip	:	00968-0000
Country	:	US
Telephone Number	:	787-793-1600
Fax Number	:	787-792-7500

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. YOLANDA LABOY SANTINI
Credential	:
Telephone Number	:	787-951-8100

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/03/2021

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