MEDICARE: DEPARTAMENTO DE SALUD

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	8	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992724140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPARTAMENTO DE SALUD

Provider Business Mailing Address
First Line	:	#100 AVENIDA LAUREL
Second Line	:	URBANIZACION SANTA JUANITA
City	:	BAYAMON
State	:	PR
Zip	:	00956-4816
Country	:	US
Telephone Number	:	787-787-5151
Fax Number	:	787-787-7979

Provider Business Practice Location Address
First Line	:	#100 AVENIDA LAUREL
Second Line	:	URBANIZACION SANTA JUANITA
City	:	BAYAMON
State	:	PR
Zip	:	00956-4816
Country	:	US
Telephone Number	:	787-787-5151
Fax Number	:	787-787-7979

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	YESAREL Y PESANTE SANCHEZ
Credential	:	LDCO
Telephone Number	:	787-765-6969

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	10/10/2024

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Directions to “DEPARTAMENTO DE SALUD ” Practice Location

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