Programa Sida de San Juan

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

PROGRAMA SIDA DE SAN JUAN

Practice address

1306 Ave Fernandez Juncos
Stop 19
San Juan, PR 00909-2521

Phone

(787) 722-5470

Fax

(787) 724-5104

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hector Sorrentini, MD

Title

Executive Directo

Phone

(787) 977-0540

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1982734604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 AVE FERNANDEZ JUNCOS",
            "address_2": "STOP 19",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092521",
            "telephone_number": "787-722-5470",
            "fax_number": "787-724-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 AVE FERNANDEZ JUNCOS",
            "address_2": "STOP 19",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092521",
            "telephone_number": "787-722-5470",
            "fax_number": "787-724-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAMA SIDA DE SAN JUAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SORRENTINI",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTO",
        "authorized_official_telephone_number": "787-977-0540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4023064",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• State or Local Public Health Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• State or Local Public Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.