Healthcare Provider Details

I. General information

NPI: 1720228786
Provider Name (Legal Business Name): SPECIAL CARE INFUSION CENTER ,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2009
Last Update Date: 03/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO PALENQUES CARRETERA NUM 2 CARRETERA NUMERO 2 KM 55.7
BARCELONETA PR
00617
US

IV. Provider business mailing address

1219 AVE AMERICO MIRANDA
SAN JUAN PR
00921-1619
US

V. Phone/Fax

Practice location:
  • Phone: 787-903-6326
  • Fax:
Mailing address:
  • Phone: 787-783-8579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. REY FLORES
Title or Position: PRESIDENT
Credential:
Phone: 787-783-8579