Provider Demographics
NPI:1043563273
Name:SAN JUAN MUNICIPAL HOSPITAL
Entity Type:Organization
Organization Name:SAN JUAN MUNICIPAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IGAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-342-8393
Mailing Address - Street 1:MONTE REAL
Mailing Address - Street 2:BUSON 187
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-8211
Mailing Address - Country:US
Mailing Address - Phone:787-342-8393
Mailing Address - Fax:
Practice Address - Street 1:CONDO MONTE REAL RR2 BUSON 187
Practice Address - Street 2:
Practice Address - City:SAN JUAN PR
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00926
Practice Address - Country:UM
Practice Address - Phone:787-342-8393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR014309-1282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access