Healthcare Provider Details
I. General information
NPI: 1497707251
Provider Name (Legal Business Name): SPECIAL CARE INFUSION CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2006
Last Update Date: 08/03/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CENTRO INTERNACIONAL DE MERCADEO CARR. 165 TORRE 1 SUITE 305
GUAYNABO PR
00968-0000
US
IV. Provider business mailing address
CENTRO INTERNACIONAL DE MERCADEO CARR. 165 TORRE 1 SUITE 305
GUAYNABO PR
00968-0000
US
V. Phone/Fax
- Phone: 787-793-1600
- Fax: 787-792-7500
- Phone: 787-793-1600
- Fax: 787-792-7500
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | |
| License Number State | PR |
VIII. Authorized Official
Name: MS.
YOLANDA
LABOY SANTINI
Title or Position: PRESIDENT
Credential:
Phone: 787-951-8100