Provider Demographics
NPI:1790793552
Name:SAN JORGE ASSOCIATES
Entity Type:Organization
Organization Name:SAN JORGE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE PATNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:J
Authorized Official - Last Name:ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-728-6902
Mailing Address - Street 1:PO BOX 361738
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-1738
Mailing Address - Country:US
Mailing Address - Phone:787-728-6902
Mailing Address - Fax:787-728-6902
Practice Address - Street 1:258 CALLE SAN JORGE
Practice Address - Street 2:303
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3239
Practice Address - Country:US
Practice Address - Phone:787-728-6902
Practice Address - Fax:787-728-6902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty