Healthcare Provider Details

I. General information

NPI: 1437383049
Provider Name (Legal Business Name): MULTY-MEDICAL FACILITIES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2009
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MUNOZ RIVERA 402 HATO REY
SAN JUAN PR
00918
US

IV. Provider business mailing address

PO BOX 191643
SAN JUAN PR
00919-1643
US

V. Phone/Fax

Practice location:
  • Phone: 787-705-8677
  • Fax: 787-765-1581
Mailing address:
  • Phone: 787-705-8677
  • Fax: 787-765-1581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number63
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number63
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number03-099
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number63
License Number StatePR
# 5
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number63
License Number StatePR
# 6
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number63
License Number StatePR
# 7
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JUAN E. ORTIZ
Title or Position: PRESIDENT
Credential: BSPH
Phone: 787-525-3279