De Diego Ambulatory Clinic Corp
Clinic/Center, Emergency Care in San Juan, Puerto Rico
1134168354- Practice location
- 150 Ave De Diego, Condominio San Juan Health Centre Box 1, San Juan, PR 00907-2300
- Phone
- 787-977-7575
- Fax
- 787-977-7605
- Last updated
- March 16, 2023
De Diego Ambulatory Clinic Corp is a healthcare organization based in San Juan, PR. De Diego Ambulatory Clinic Corp practices in San Juan, PR. The NPI Number for De Diego Ambulatory Clinic Corp is 1134168354 and holds a License No. 105 (PR). The current practice location address for De Diego Ambulatory Clinic Corp is 150 Ave De Diego, Condominio San Juan Health Centre Box 1, San Juan, PR 00907-2300 and can be reached out via phone at 787-977-7575 and via fax at 787-977-7605.
Provider Profile Details
- NPI Number
- 1134168354
- Provider Name
- De Diego Ambulatory Clinic Corp
- Provider Entity Type
- Organization
- Address
- 150 Ave De Diego, Condominio San Juan Health Centre Box 1, San Juan, PR 00907-2300
- Phone Number
- 787-977-7575
- Fax Number
- 787-977-7605
- Primary Taxonomy
- Clinic/Center, Emergency Care · 261QE0002X
- Organization Subpart
- No
- Authorized Official
- Dr. Pedro Beauchamp, MD · Medical Director · 787-977-7575
- Other Names
- Cdt San Juan Medical Plaza (Doing Business As)
- Provider Enumeration Date
- June 5, 2006
- Last Update Date
- March 16, 2023
- Certification Date
- March 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 Ave De Diego
Condominio San Juan Health Centre Box 1
San Juan, PR 00907-2300 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00907-2300
- Phone Number
- 787-977-7575
- Fax Number
- 787-977-7605
Provider Business Mailing Address Details
- Address
- 150 Ave De Diego
Condominio San Juan Health Centre Box 1
San Juan, PR 00907-2300 - City
- San Juan
- State
- PR
- Zip
- 00907-2300
- Phone Number
- 787-977-7575
- Fax Number
- 787-977-7605
License Information
- License Number
- 105
- License State
- PR
- Taxonomy
- Clinic/Center, Emergency Care · 261QE0002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of De Diego Ambulatory Clinic Corp?
The NPI number of De Diego Ambulatory Clinic Corp is 1134168354. It was assigned on June 5, 2006 and is currently active in the NPPES registry.
What is the specialty of De Diego Ambulatory Clinic Corp?
De Diego Ambulatory Clinic Corp is registered under the primary taxonomy Clinic/Center, Emergency Care (code 261QE0002X), licensed in PR under license number 105.
Where does De Diego Ambulatory Clinic Corp practice?
The practice location is 150 Ave De Diego, Condominio San Juan Health Centre Box 1, San Juan, PR 00907-2300. The office can be reached at 787-977-7575 (phone) or 787-977-7605 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134168354 directly on the NPPES registry website.