Active NPI
Municipio de San Juan
- Adult Day Care Clinic/Center
- San Juan, PR
National Provider Identifier
1205386554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 987
- Legal business name
- MUNICIPIO DE SAN JUAN
- Practice address
- 1306 Ave Fernandez Juncos
Parada 19 Santurce
San Juan, PR 00909-2521 - Phone
- (178) 748-0300
- Fax
- (787) 722-2220
- NPI assigned
- Oct 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Edivette Soto
- Title
- Nutritionist
- Phone
- (787) 480-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 987 | PR | Primary |
Addresses
Primary practice location
1306 Ave Fernandez Juncos
Parada 19 Santurce
San Juan, PR 00909-2521
Mailing address
1306 Ave Fernandez Juncos
Pda 19 Santurce
San Juan, PR 00909-2521
Phone (787) 480-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 987 | Other | PR | NUTRITION LICENCE NUMBER |
National Provider Directory
National Provider DirectoryLocations
1306 Ave Fernandez Juncos
#19
San Juan, PR 00909
Phone (787) 344-3212
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- San Juan, PR
- NPI 1083612527
-
- General Practice Physician
- San Juan, PR
- NPI 1922006469
-
- Nutritionist
- San Juan, PR
- NPI 1508395054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476144000000",
"number": "1205386554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 AVE FERNANDEZ JUNCOS",
"address_2": "PDA 19 SANTURCE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092521",
"telephone_number": "787-480-3000",
"fax_number": "787-722-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 AVE FERNANDEZ JUNCOS",
"address_2": "PARADA 19 SANTURCE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092521",
"telephone_number": "178-748-0300",
"fax_number": "787-722-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUNICIPIO DE SAN JUAN",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-11",
"last_updated": "2016-10-11",
"status": "A",
"authorized_official_last_name": "SOTO",
"authorized_official_first_name": "EDIVETTE",
"authorized_official_title_or_position": "NUTRITIONIST",
"authorized_official_telephone_number": "787-480-3000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "PR",
"license": "987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NUTRITION LICENCE NUMBER",
"identifier": "987",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.