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San Juan Medical Group Corp
Prosthetic/Orthotic Supplier in Guanica, N/A
NPI 1154359719

San Juan Medical Group Corp is a Prosthetic/Orthotic Supplier based in Yauco, . San Juan Medical Group Corp practices in Guanica, . The NPI Number for San Juan Medical Group Corp is 1154359719 and holds a License No. 08P2295 (N/A).

The current practice location address for San Juan Medical Group Corp is Carretera 116 Km 24 6, Guanica, and can be reached out via phone at 787-821-0210 and via fax at 787-821-4433.

Location: Carretera 116 Km 24 6, Guanica, , 00698-5102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154359719
Provider Name
San Juan Medical Group Corp
Credential
Provider Entity Type
Organization
Address
Carretera 116 Km 24 6, Guanica, , 00698-5102
Phone Number
787-821-0210
Fax Number
787-821-4433
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
57159 01 PR TRIPLE S
institution
Provider Business Practice Location Address Details
Address
Carretera 116 Km 24 6
City
Guanica
State
Zip
00653
Phone Number
787-821-0210
Fax Number
787-821-4433
person
Provider Business Mailing Address Details
Address
Carretera 116 Km 24 6
City
Guanica
State
Zip
00653
Phone Number
787-821-0210
Fax Number
787-821-4433
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
08P2295 ()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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