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Organization Active NPI

San Juan Aging Center

Doing business as Social Medical Complex Antillas

  • Nursing Facility/Intermediate Care Facility
  • San Juan, PR
National Provider Identifier
1023099793
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
SAN JUAN AGING CENTER
Doing business as
Social Medical Complex Antillas
Practice address
Ave. 65 Infantery Bo. Sabana Llana
San Juan, PR 00929
Phone
(787) 764-9124
Fax
(787) 764-9904
NPI assigned
Nov 9, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Maritza Vega, MBA/HCM
Title
Executive Director
Phone
(787) 764-9124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NU Primary

Addresses

Primary practice location

Ave. 65 Infantery Bo. Sabana Llana
San Juan, PR 00929

Mailing address

PO Box 29395
San Juan, PR 00929-0395
Phone (787) 764-9124

Other identifiers 8

IdentifierTypeStateIssuer
68650-41041OtherPRCRUZ AZUL
001365OtherPRAMERICAN HEALTH
2501325OtherPRACCA
820953OtherPRMMM
4500121OtherPRACCA
9900144OtherPRACCA
40081OtherPRPREFERRED MEDICARE CHOICE
P113OtherPRFIRST MEDICAL

Other names 1

  • Social Medical Complex Antillas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CDT Dr a J Garcia63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023099793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29395",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290395",
            "telephone_number": "787-764-9124",
            "fax_number": "787-764-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. 65 INFANTERY BO. SABANA LLANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00929",
            "telephone_number": "787-764-9124",
            "fax_number": "787-764-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN AGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-764-9124",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA/HCM"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "68650-41041",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "001365",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCA",
            "identifier": "2501325",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "820953",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCA",
            "identifier": "4500121",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCA",
            "identifier": "9900144",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "40081",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "P113",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Social Medical Complex Antillas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.