Provider Demographics
NPI:1780898551
Name:CDT DR JAVIER J ANTON
Entity type:Organization
Organization Name:CDT DR JAVIER J ANTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LLOVET
Authorized Official - Suffix:
Authorized Official - Credentials:LIC
Authorized Official - Phone:787-480-1039
Mailing Address - Street 1:PO BOX 21405
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-1405
Mailing Address - Country:US
Mailing Address - Phone:787-480-3876
Mailing Address - Fax:787-763-3179
Practice Address - Street 1:1 CALLE VALLEJO ESQUINA CALLE PINERO
Practice Address - Street 2:RIO PIEDRAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-480-1020
Practice Address - Fax:787-763-3179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR19223OtherTRIPLE S PRIVADO
PR=========OtherCOSVIMED CARE
PR=========OtherMCS LIFE
PR1142OtherPRASAM
9170110OtherHUMANA REFORMA GOLDEN PLU
PR=========OtherCOSVI REFORMA Y PRIVADO
PR=========OtherPAN AMERICAN
PR100-104-3OtherACAA
PR=========OtherAMERICAN HEALTH
PR030368OtherCRUZ AZUL
PR7737OtherFIRST MEDICAL IMC
PR=========OtherCIGNA PREFERRED
PR=========OtherGOLDEN CROSS
PR19223Medicaid
PR=========Medicare ID - Type UnspecifiedMAPHRE HEALTH MEDICARE AD
PR=========JAOtherCOSVI REFORMA Y PRIVADO
PR19223OtherTRIPLE S PRIVADO
PR=========OtherPAN AMERICAN
PR=========OtherMCS LIFE
PR700031Medicare ID - Type UnspecifiedMMM