Provider Demographics
NPI:1881821874
Name:JUNTA CENTRO DE SALUD COMUNAL DR. JOSE S. BELAVAL INC.
Entity Type:Organization
Organization Name:JUNTA CENTRO DE SALUD COMUNAL DR. JOSE S. BELAVAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-268-4171
Mailing Address - Street 1:PO BOX 14457
Mailing Address - Street 2:
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00916
Mailing Address - Country:US
Mailing Address - Phone:787-268-4171
Mailing Address - Fax:787-268-4187
Practice Address - Street 1:AVE. BORINQUEN EDIFICIO # 2003 BO. OBRERO
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00916
Practice Address - Country:US
Practice Address - Phone:787-268-4171
Practice Address - Fax:787-268-4187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)