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General NPI Number Information
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NPI Number | 1003167370
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Entity Type | Organization
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Legal Business Name | SAN JUAN CITY HOSPITAL
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | SAN JUAN CITY HOSPITAL PMB #79 70344SAN
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City | SAN JUAN
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State | PR
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Zip | 00936-8344
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Country | US
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Telephone | 939-289-3433
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Fax |
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Provider Business Mailing Address
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Address Line | PMB #79 PO BOX 70344
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City | SAN JUAN
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State | PR
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Zip | 00936-8344
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Country | US
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Telephone | 939-289-3433
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. VERONICA DEL RIO
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Credential |
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Telephone | 787-630-1582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281PC2000X
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Taxonomy Name | Children's Chronic Disease Hospital
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License Number | 9099
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License Number State | PR
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