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NPI Code Detail

MEDICARE: MUNICIPALITY OF SAN JUAN PR

MEDICARE: MUNICIPALITY OF SAN JUAN PR
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
1333600000XPharmacy
23336I0012XInstitutional Pharmacy17-F1606PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12086929OTHERPK

General Provider Information

NPI Number : 1376665174
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUNICIPALITY OF SAN JUAN PR
Provider Business Mailing Address
First Line : PO BOX 13964
Second Line :
City : SAN JUAN
State : PR
Zip : 00908-3964
Country : US
Telephone Number : 787-480-3000
Fax Number : 787-721-7596
Provider Business Practice Location Address
First Line : 1306 AVE FERNANDEZ JUNCOS
Second Line :
City : SAN JUAN
State : PR
Zip : 00909-2521
Country : US
Telephone Number : 787-480-3000
Fax Number : 787-721-7596
Authorized Official
Title or Position : MANAGER
Name : SONIA COLLAZO DE JESUS
Credential :
Telephone Number : 787-480-3003
Provider Enumeration Date : 04/04/2007
Last Update Date : 01/22/2016

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Directions to “MUNICIPALITY OF SAN JUAN PR ” Practice Location

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