MEDICARE: SHC OWNER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1194480806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHC OWNER LLC

Provider Business Mailing Address
First Line	:	PO BOX 30532
Second Line	:
City	:	MANATI
State	:	PR
Zip	:	00674-8513
Country	:	US
Telephone Number	:	787-854-3322
Fax Number	:	787-884-0178

Provider Business Practice Location Address
First Line	:	ROAD 696 INTERSECCION
Second Line	:	AVE EFRON BO HIGUILLAR
City	:	DORADO
State	:	PR
Zip	:	00646
Country	:	US
Telephone Number	:	787-625-5050
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RUBEN OCANA
Credential	:
Telephone Number	:	787-854-3322

Provider Enumeration Date	:	11/08/2021
Last Update Date	:	06/10/2026

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Directions to “SHC OWNER LLC ” Practice Location

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