Provider Demographics
NPI:1114275815
Name:MUNICIPALITY OF SAN JUAN PR DIRECTOR DE FINANZAS
Entity Type:Organization
Organization Name:MUNICIPALITY OF SAN JUAN PR DIRECTOR DE FINANZAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MYRNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOISSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-756-8535
Mailing Address - Street 1:SAN JUAN CITY HOSPITAL PMB 79
Mailing Address - Street 2:PO BOX 70344
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-8344
Mailing Address - Country:US
Mailing Address - Phone:787-756-8535
Mailing Address - Fax:787-764-3643
Practice Address - Street 1:CENTRO MEDICO
Practice Address - Street 2:BO. MONACILLOS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-756-8535
Practice Address - Fax:787-764-3643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR938133N00000X
PR1112133N00000X
PR1225133N00000X
PR1008133N00000X
PR432133N00000X
PR1196133N00000X
PR30282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty