St Jude Medical PR LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ST JUDE MEDICAL PR LLC

Doing business as

St Jude Medical

Practice address

Munoz Rivera Ave.
654 Plaza Suite 1402
San Juan, PR 00918

Phone

(787) 641-1111

Fax

(787) 641-1110

NPI assigned

Sep 19, 2007

Organization subpart

Yes

Parent organization

ST. JUDE MEDICAL INC.As reported in NPPES

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

Authorized official

Name

Mrs. Brenda Liz Fernandez

Title

Sr. Accountant

Phone

(787) 641-1111

Specialties & licenses 1

Addresses

Other names 1

• ST JUDE MEDICAL Doing business as

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1285820613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366105",
            "telephone_number": "787-641-1111",
            "fax_number": "787-641-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA AVE.",
            "address_2": "654 PLAZA SUITE 1402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-641-1111",
            "fax_number": "787-641-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE MEDICAL PR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST.  JUDE MEDICAL INC.",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LIZ",
        "authorized_official_title_or_position": "SR. ACCOUNTANT",
        "authorized_official_telephone_number": "787-641-1111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JUDE MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Acute Care Hospital in San Juan, PR
• Providers in San Juan, PR by specialty
• General Acute Care Hospital in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.