Provider Demographics
NPI:1326186222
Name:FACULTAD MEDICA HOSPITAL SAN JUAN
Entity Type:Organization
Organization Name:FACULTAD MEDICA HOSPITAL SAN JUAN
Other - Org Name:COMITE LEY 56
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:COLON-FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-766-2222
Mailing Address - Street 1:PO BOX 70344
Mailing Address - Street 2:PMB 101
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8344
Mailing Address - Country:US
Mailing Address - Phone:787-766-2222
Mailing Address - Fax:787-765-4975
Practice Address - Street 1:HOSP. MUNICIPAL SAN JUAN
Practice Address - Street 2:CENTRO MEDICO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-766-2222
Practice Address - Fax:787-765-4975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty