Active NPI
St Jude Nursing Home Inc
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1609403989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ST JUDE NURSING HOME INC
- Practice address
- 1214 Calle Jose Abad
San Juan, PR 00924-4336 - Phone
- (787) 776-3013
- Fax
- (787) 762-9334
- NPI assigned
- Mar 25, 2020
- 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
- Hector E Jaca
- Title
- Chief Executive Officer
- Phone
- (787) 776-3013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1214 Calle Jose Abad
San Juan, PR 00924-4336
Mailing address
PO Box 9117
Carolina, PR 00988-9117
Phone (787) 776-3013
Other practice location 1
1214 Calle Jose Abad
San Juan, PR 00924-4336
Phone (787) 776-3013
National Provider Directory
National Provider Directory- Tax ID family
- St Jude Nursing Home Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- San Juan, PR
- NPI 1093110926
-
- Clinic/Center
- San Juan, PR
- NPI 1275902348
-
- Skilled Nursing Facility
- Rio Piedras, PR
- NPI 1528141884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585094400000",
"number": "1609403989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9117",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009889117",
"telephone_number": "787-776-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 CALLE JOSE ABAD",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009244336",
"telephone_number": "787-776-3013",
"fax_number": "787-762-9334"
}
],
"practiceLocations": [
{
"address_1": "1214 Calle Jose Abad",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009244336",
"country_code": "US",
"telephone_number": "787-776-3013",
"fax_number": "787-762-9334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ST JUDE NURSING HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-25",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A",
"authorized_official_last_name": "JACA",
"authorized_official_first_name": "HECTOR",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "787-776-3013"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Mar 25, 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.