MEDICARE: SAN JUAN BAUTISTA MEDICAL CENTER

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	:	1235215658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN JUAN BAUTISTA MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 4964
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00726-4964
Country	:	US
Telephone Number	:	787-653-0550
Fax Number	:	787-653-4522

Provider Business Practice Location Address
First Line	:	CARR. 172 SALIDA CAGUAS A CIDRA
Second Line	:	TURABO GARDENS
City	:	CAGUAS
State	:	PR
Zip	:	00726-4964
Country	:	US
Telephone Number	:	787-653-0550
Fax Number	:	787-653-4522

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. AMAURY LLUVERAS
Credential	:
Telephone Number	:	787-653-0550

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	08/22/2020

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