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NPI Code Detail

MEDICARE: PROGRAMA SIDA DE SAN JUAN

MEDICARE: PROGRAMA SIDA DE SAN JUAN
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
1261QP0905XState or Local Public Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14023064OTHERPRNABP

General Provider Information

NPI Number : 1982734604
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROGRAMA SIDA DE SAN JUAN
Provider Business Mailing Address
First Line : 1306 AVE FERNANDEZ JUNCOS
Second Line : STOP 19
City : SAN JUAN
State : PR
Zip : 00909-2521
Country : US
Telephone Number : 787-722-5470
Fax Number : 787-724-5104
Provider Business Practice Location Address
First Line : 1306 AVE FERNANDEZ JUNCOS
Second Line : STOP 19
City : SAN JUAN
State : PR
Zip : 00909-2521
Country : US
Telephone Number : 787-722-5470
Fax Number : 787-724-5104
Authorized Official
Title or Position : EXECUTIVE DIRECTO
Name : DR. HECTOR SORRENTINI
Credential : MD
Telephone Number : 787-977-0540
Provider Enumeration Date : 03/06/2007
Last Update Date : 03/07/2023

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1124026661 — DR. CANDELARIO A SOSA MD MPH
Practice Location Address:
1306 AVE FERNANDEZ JUNCOS
SAN JUAN, PR
00909-2521
Practice Phone: 787-480-3000
Practice Fax:
1407855091 — DR. CONCEPCIN MALDONADO M.D.
Practice Location Address:
1306 AVE FERNANDEZ JUNCOS
SAN JUAN, PR
00909-2521
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Practice Fax:
1710986070 — MRS. LIZETTE SANTIAGO M.D.
Practice Location Address:
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SAN JUAN, PR
00909-2521
Practice Phone: 787-723-2424
Practice Fax: 787-724-5104
1376665174 — MUNICIPALITY OF SAN JUAN PR
Practice Location Address:
1306 AVE FERNANDEZ JUNCOS
SAN JUAN, PR
00909-2521
Practice Phone: 787-480-3000
Practice Fax: 787-721-7596

Directions to “PROGRAMA SIDA DE SAN JUAN ” Practice Location

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