Provider Demographics
NPI:1821836156
Name:MULTY MEDICAL FACILITIES CORP
Entity type:Organization
Organization Name:MULTY MEDICAL FACILITIES CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CONDE
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-705-8677
Mailing Address - Street 1:402 MUNOZ RIVERA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3310
Mailing Address - Country:US
Mailing Address - Phone:787-754-0194
Mailing Address - Fax:787-274-2125
Practice Address - Street 1:AMERICO MIRANDA AVENUE ENTRADA PRINCIPAL CENTRO MEDICO
Practice Address - Street 2:CORPORACION CENTRO CARDIOVASCULAR 8VO PISO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-754-0194
Practice Address - Fax:787-274-2125
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MULTY MEDICAL FACILITIES CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-19
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility