Provider Demographics
NPI:1497707251
Name:SPECIAL CARE INFUSION CENTER, INC
Entity Type:Organization
Organization Name:SPECIAL CARE INFUSION CENTER, INC
Other - Org Name:SPECIAL CARE INFUSION CENTER, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LABOY SANTINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-951-8100
Mailing Address - Street 1:CENTRO INTERNACIONAL DE MERCADEO CARR. 165
Mailing Address - Street 2:TORRE 1 SUITE 305
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-0000
Mailing Address - Country:US
Mailing Address - Phone:787-793-1600
Mailing Address - Fax:787-792-7500
Practice Address - Street 1:CENTRO INTERNACIONAL DE MERCADEO CARR. 165
Practice Address - Street 2:TORRE 1 SUITE 305
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-0000
Practice Address - Country:US
Practice Address - Phone:787-793-1600
Practice Address - Fax:787-792-7500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0085115Medicare PIN