Provider Demographics
NPI:1619215126
Name:SAN JUAN CITY HOSPITAL
Entity Type:Organization
Organization Name:SAN JUAN CITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:CAROLINA
Authorized Official - Last Name:LO WONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-877-1522
Mailing Address - Street 1:SAN JUAN CITY HOSPITAL, PEDIATRIC DEPARTMENT
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8344
Mailing Address - Country:US
Mailing Address - Phone:305-877-1522
Mailing Address - Fax:
Practice Address - Street 1:SAN JUAN CITY HOSPITAL, PEDIATRIC DEPARTMENT
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-8344
Practice Address - Country:US
Practice Address - Phone:787-480-5883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR014479I282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren