Organization Active NPI

Municipio de San Juan

  • Adult Day Care Clinic/Center
  • San Juan, PR
National Provider Identifier
1205386554
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
987 Issued in PR
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

Updated by the provider on Oct 11, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
987OtherPRNUTRITION LICENCE NUMBER

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.