Healthcare Provider Details

I. General information

NPI: 1558564864
Provider Name (Legal Business Name): SALUD DE LA CAPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CALLE CERRA
SAN JUAN PR
00907-5104
US

IV. Provider business mailing address

71 CALLE ROBLE
GUAYNABO PR
00966-3168
US

V. Phone/Fax

Practice location:
  • Phone: 787-977-9520
  • Fax:
Mailing address:
  • Phone: 787-793-0537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number05202
License Number StatePR

VIII. Authorized Official

Name: DR. HECTOR SORRENTINI
Title or Position: EXECUTIVE DIRECTOR
Credential: M.D.
Phone: 787-977-0520