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NPI Code Detail

MEDICARE: GRUPO DE EMPRESAS DE SALUD DE SAN JUAN, INC

MEDICARE: GRUPO DE EMPRESAS DE SALUD DE SAN JUAN, INC
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
1291U00000XClinical Medical Laboratory167PR

General Provider Information

NPI Number : 1649551060
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRUPO DE EMPRESAS DE SALUD DE SAN JUAN, INC
Provider Business Mailing Address
First Line : PO BOX 193044
Second Line :
City : SAN JUAN
State : PR
Zip : 00919-3044
Country : US
Telephone Number : 787-767-8758
Fax Number : 787-250-9265
Provider Business Practice Location Address
First Line : 107 CALLE PADRE LAS CASAS
Second Line : URB. EL VEDADO
City : SAN JUAN
State : PR
Zip : 00918-3104
Country : US
Telephone Number : 787-767-8758
Fax Number : 787-250-9265
Authorized Official
Title or Position : PRESIDENT
Name : DR. RAUL VILLALOBOS
Credential : MD
Telephone Number : 787-767-8758
Provider Enumeration Date : 08/30/2011
Last Update Date : 01/13/2014

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Directions to “GRUPO DE EMPRESAS DE SALUD DE SAN JUAN, INC ” Practice Location

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