Healthcare Provider Details

I. General information

NPI: 1821836156
Provider Name (Legal Business Name): MULTY MEDICAL FACILITIES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2024
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AMERICO MIRANDA AVENUE ENTRADA PRINCIPAL CENTRO MEDICO CORPORACION CENTRO CARDIOVASCULAR 8VO PISO
SAN JUAN PR
00936
US

IV. Provider business mailing address

402 MUNOZ RIVERA
SAN JUAN PR
00918-3310
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-0194
  • Fax: 787-274-2125
Mailing address:
  • Phone: 787-754-0194
  • Fax: 787-274-2125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: TANIA E CONDE
Title or Position: PRESIDENT
Credential: MHSA
Phone: 787-705-8677