San Juan Aging Center

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

25487 Issued in PR

Legal business name

SAN JUAN AGING CENTER

Practice address

1187 Calle 46 SE
Urbanizacion Reparto Metropolitano
San Juan, PR 00921-2625

Phone

(787) 480-5402

Fax

(787) 764-9904

NPI assigned

Mar 21, 2012

Last updated

Mar 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Josefa Cotto

Title

Sup. Dep de Facturacion

Phone

(787) 480-3876

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1295000347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 CALLE 46 SE",
            "address_2": "REPARTO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212625",
            "telephone_number": "787-480-5402",
            "fax_number": "787-649-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 CALLE 46 SE",
            "address_2": "URBANIZACION REPARTO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212625",
            "telephone_number": "787-480-5402",
            "fax_number": "787-764-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN AGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "COTTO",
        "authorized_official_first_name": "JOSEFA",
        "authorized_official_title_or_position": "SUP. DEP DE FACTURACION",
        "authorized_official_telephone_number": "787-480-3876",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "PR",
            "license": "25487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE LICENSE",
            "identifier": "25487",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Jorge General Pediatric Medical Group
• San Jorge Pediatric Mental Health Unit
• San Jorge Pediatric Orthopaedic Institute
• San Juan Aging (Social Medical Complex)
• San Juan Aging Center (Social Medical Complex Antillas)
• San Juan Anesthesia Consultants
• San Juan Capestrano Hospital, Inc. (San Juan Capestrano Hospital)
• San Juan Capestrano Hospital, Inc. (San Juan Capestrano Hospital)
• San Juan Capestrano Hospital, Inc. (San Juan Capestrano Hospital)
• San Juan Cardiology LLC

• Adult Care Home Facility in San Juan, PR
• Providers in San Juan, PR by specialty
• Adult Care Home Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.