Provider Demographics
NPI:1720228786
Name:SPECIAL CARE INFUSION CENTER ,INC.
Entity Type:Organization
Organization Name:SPECIAL CARE INFUSION CENTER ,INC.
Other - Org Name:BARCELONETA INFUSION CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-783-8579
Mailing Address - Street 1:1219 AVE AMERICO MIRANDA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-1619
Mailing Address - Country:US
Mailing Address - Phone:787-783-8579
Mailing Address - Fax:
Practice Address - Street 1:BARRIO PALENQUES CARRETERA NUM 2
Practice Address - Street 2:CARRETERA NUMERO 2 KM 55.7
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617
Practice Address - Country:US
Practice Address - Phone:787-903-6326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy