On Site Preventive Medicine Csp
Clinic/Center in San Juan, Puerto Rico
1912591041- Practice location
- 400 Ave Fd Roosevelt Ste 409, San Juan, PR 00918-2163
- Phone
- 787-903-6100
- Fax
- 787-273-0935
- Last updated
- March 23, 2021
On Site Preventive Medicine Csp is a healthcare organization based in San Juan, PR. On Site Preventive Medicine Csp practices in San Juan, PR. The NPI Number for On Site Preventive Medicine Csp is 1912591041. The current practice location address for On Site Preventive Medicine Csp is 400 Ave Fd Roosevelt Ste 409, San Juan, PR 00918-2163 and can be reached out via phone at 787-903-6100 and via fax at 787-273-0935.
Provider Profile Details
- NPI Number
- 1912591041
- Provider Name
- On Site Preventive Medicine Csp
- Provider Entity Type
- Organization
- Address
- 400 Ave Fd Roosevelt Ste 409, San Juan, PR 00918-2163
- Phone Number
- 787-903-6100
- Fax Number
- 787-273-0935
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Maximo C Blondet, MD · Owner · 787-409-5869
- Other Names
- On Site Preventive Medicine Csp (Former Legal Business Name)
- Provider Enumeration Date
- March 1, 2021
- Last Update Date
- March 23, 2021
- Certification Date
- March 23, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Ave Fd Roosevelt Ste 409
San Juan, PR 00918-2163 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00918-2163
- Phone Number
- 787-903-6100
- Fax Number
- 787-273-0935
Provider Business Mailing Address Details
- Address
- 400 Ave Fd Roosevelt Ste 409
San Juan, PR 00918-2163 - City
- San Juan
- State
- PR
- Zip
- 00918-2163
License Information
- Taxonomy (1)
- Clinic/Center, Health Services · 261QH0100X
- Taxonomy (2)
- Clinic/Center, Public Health, State or Local · 261QP0905X
- Taxonomy (3)
- Clinic/Center, Primary Care · 261QP2300X
- Taxonomy (4)
- Clinic/Center, Prison Health · 261QP2400X
- Taxonomy (5)
- Clinic/Center, Rural Health · 261QR1300X
- Taxonomy (6)
- Clinic/Center, Sleep Disorder Diagnostic · 261QS1200X
- Taxonomy (7)
- Non-Pharmacy Dispensing Site · 332900000X
- Taxonomy (8)
- Emergency Response System Companies · 333300000X
- Taxonomy (9)
- 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 On Site Preventive Medicine Csp?
The NPI number of On Site Preventive Medicine Csp is 1912591041. It was assigned on March 1, 2021 and is currently active in the NPPES registry.
What is the specialty of On Site Preventive Medicine Csp?
On Site Preventive Medicine Csp is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does On Site Preventive Medicine Csp practice?
The practice location is 400 Ave Fd Roosevelt Ste 409, San Juan, PR 00918-2163. The office can be reached at 787-903-6100 (phone) or 787-273-0935 (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 1912591041 directly on the NPPES registry website.