Provider Demographics
NPI:1851590780
Name:JUAN E POSADA MD INCORPORATED
Entity Type:Organization
Organization Name:JUAN E POSADA MD INCORPORATED
Other - Org Name:JUAN E POSADA MD INCORPORATED
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:ESTEBAN
Authorized Official - Last Name:POSADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-259-3022
Mailing Address - Street 1:200 JOSE FIGUERES AVE
Mailing Address - Street 2:STE #485-495
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1585
Mailing Address - Country:US
Mailing Address - Phone:408-259-3022
Mailing Address - Fax:408-259-3040
Practice Address - Street 1:200 JOSE FIGUERES AVE
Practice Address - Street 2:STE #485-495
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1585
Practice Address - Country:US
Practice Address - Phone:408-259-3022
Practice Address - Fax:408-259-3040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54533207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1265496301OtherGROUP NPI
CAA54533OtherSTATE LINCENSE
CA00A54533Medicare PIN
CAA54533OtherSTATE LINCENSE