St Jude Nursing Home INC
Clinic/Center in San Juan, Puerto Rico
1275902348- Practice location
- 1214 Calle Jose Abad, Club Manor, San Juan, PR 00924-4336
- Phone
- 787-776-3013
- Fax
- 787-762-9334
- Last updated
- September 18, 2015
St Jude Nursing Home INC is a healthcare organization based in San Juan, PR. St Jude Nursing Home INC practices in San Juan, PR. The NPI Number for St Jude Nursing Home INC is 1275902348 and holds a License No. 04 (PR). The current practice location address for St Jude Nursing Home INC is 1214 Calle Jose Abad, Club Manor, San Juan, PR 00924-4336 and can be reached out via phone at 787-776-3013 and via fax at 787-762-9334.
Provider Profile Details
- NPI Number
- 1275902348
- Provider Name
- St Jude Nursing Home INC
- Provider Entity Type
- Organization
- Address
- 1214 Calle Jose Abad, Club Manor, San Juan, PR 00924-4336
- Phone Number
- 787-776-3013
- Fax Number
- 787-762-9334
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Hector E Jaca, RN, MBA-HCM · Ceo · 787-776-3013
- Other Names
- St Jude Healthcare Services (Doing Business As)
- Provider Enumeration Date
- September 18, 2015
- Last Update Date
- September 18, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1214 Calle Jose Abad
Club Manor
San Juan, PR 00924-4336 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00924-4336
- Phone Number
- 787-776-3013
- Fax Number
- 787-762-9334
Provider Business Mailing Address Details
- Address
- Po Box 9117
Plaza Carolina Station
Carolina, PR 00988-9117 - City
- Carolina
- State
- PR
- Zip
- 00988-9117
- Phone Number
- 787-776-3013
- Fax Number
- 787-762-9334
License Information
- License Number
- 04
- License State
- PR
- Taxonomy
- Clinic/Center · 261Q00000X · 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 St Jude Nursing Home INC?
The NPI number of St Jude Nursing Home INC is 1275902348. It was assigned on September 18, 2015 and is currently active in the NPPES registry.
What is the specialty of St Jude Nursing Home INC?
St Jude Nursing Home INC is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in PR under license number 04.
Where does St Jude Nursing Home INC practice?
The practice location is 1214 Calle Jose Abad, Club Manor, San Juan, PR 00924-4336. The office can be reached at 787-776-3013 (phone) or 787-762-9334 (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 1275902348 directly on the NPPES registry website.