Provider Demographics
NPI:1700144912
Name:SAN FRANCISCO HEALTH SYSTEM INC.
Entity Type:Organization
Organization Name:SAN FRANCISCO HEALTH SYSTEM INC.
Other - Org Name:METRO PAVIA CLINIC - CUPEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-620-9770
Mailing Address - Street 1:PO BOX 29025
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0025
Mailing Address - Country:US
Mailing Address - Phone:787-767-5100
Mailing Address - Fax:
Practice Address - Street 1:CARR. 199 KM 0.3
Practice Address - Street 2:AVE. LAS CUMBRES
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-300-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAN FRANCISCO HEALTH SYSTEM INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-25
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No291U00000XLaboratoriesClinical Medical Laboratory