Provider Demographics
NPI:1437383049
Name:MULTY-MEDICAL FACILITIES CORPORATION
Entity Type:Organization
Organization Name:MULTY-MEDICAL FACILITIES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSPH
Authorized Official - Phone:787-525-3279
Mailing Address - Street 1:PO BOX 191643
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-1643
Mailing Address - Country:US
Mailing Address - Phone:787-705-8677
Mailing Address - Fax:787-765-1581
Practice Address - Street 1:MUNOZ RIVERA 402
Practice Address - Street 2:HATO REY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-705-8677
Practice Address - Fax:787-765-1581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR63261Q00000X, 261QA1903X, 261QE0002X, 261QI0500X, 261QR0206X
PR03-099261QC1500X
261QC1500X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility