Provider Demographics
NPI:1528360237
Name:SAN JUAN CITY HOSPITAL
Entity Type:Organization
Organization Name:SAN JUAN CITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL RIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:787-765-7618
Mailing Address - Street 1:VIOLET STREET #66 ,
Mailing Address - Street 2:CIUDAD JARDIN, #66
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-420-0150
Mailing Address - Fax:
Practice Address - Street 1:66 CALLE VIOLETA
Practice Address - Street 2:CIUDAD JARDIN,
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-2205
Practice Address - Country:US
Practice Address - Phone:787-420-0150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR28260R282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren