Provider Demographics
NPI:1790212447
Name:WEST WALK IN CLINIC P.S.C
Entity Type:Organization
Organization Name:WEST WALK IN CLINIC P.S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:JUAN
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-280-2626
Mailing Address - Street 1:KK 10 CALLE 32
Mailing Address - Street 2:EXTENSION VILLA RITA
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-1724
Mailing Address - Country:US
Mailing Address - Phone:787-923-0378
Mailing Address - Fax:
Practice Address - Street 1:204 CALLE RUIZ BELVIS
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-1724
Practice Address - Country:US
Practice Address - Phone:787-923-0378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17408261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service