SAN JUAN AGING CENTER (NPI# 1023099793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023099793 |
| Entity Type | Organization |
| Organization Name | SAN JUAN AGING CENTER |
| Other Organization Name | SOCIAL MEDICAL COMPLEX ANTILLAS |
| Practice Address |
Ave. 65 Infantery Bo. Sabana Llana San Juan PR 00929 |
| Mailing Address |
Po Box 29395 San Juan PR 00929-0395 |
| Practice Telephone | 7877649124 |
| Practice Fax Number | 7877649904 |
| Mailing Telephone | 7877649124 |
| Mailing Fax Number | 7877649904 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARITZA VEGA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7877649124 |
| Authorized Official Credential | MBA/HCM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | ACCA | 2501325 | 01 |
| PR | ACCA | 9900144 | 01 |
| PR | ACCA | 4500121 | 01 |
| PR | FIRST MEDICAL | P113 | 01 |
| PR | CRUZ AZUL | 68650-41041 | 01 |
| PR | AMERICAN HEALTH | 001365 | 01 |
| PR | MMM | 820953 | 01 |
| PR | PREFERRED MEDICARE CHOICE | 40081 | 01 |
| Other Name | Type Code |
|---|---|
| Social Medical Complex Antillas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295000347 | San Juan Aging Center | Custodial Care Facility | 1187 Calle 46 Se, Urbanizacion Reparto Metropolitano, San Juan, PR 00921-2625 | 2012-03-21 |
| Street Address |
AVE. 65 INFANTERY BO. SABANA LLANA |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396206686 | Idelvais M Pinero Melendez Obstetrics & Gynecology Psc | Obstetrics & Gynecology | 1051 3 Se St La Riviera, Medical Center Plaza 8, San Juan, PR 00929 | 2019-03-28 |
| 1437633922 | Medical Ultrasound and Research Group, Corp | Internal Medicine | Urb Villa Prades, 708 Calle Julio Andino, San Juan, PR 00929 | 2018-09-20 |
| 1669839528 | Lizbeth M Ortega Ortega | Clinic/Center | 260 Calle 54 Se, Urb La Riviera, San Juan, PR 00929 | 2016-01-24 |
| 1720478555 | Dsi Labs,inc | Clinical Medical Laboratory | 409 Ave De Diego Puerto Nuevo, Rio Piedras, PR 00929 | 2015-02-02 |
| 1245591981 | C&j Medical Group | Physical Therapist | 800 Calle Sagrado Corazon, Esq. Los Angeles Pda 26.5, Santurce, PR 00929 | 2012-05-30 |
| 1992981005 | Hhm Radiology | Interpreter | 65 Th Avenue Marginal # 8, Rio Piedras, San Juan, PR 00929 | 2008-01-18 |
| 1881735520 | Metro Pharmacy, Inc. | Pharmacy | Ave De Diego 371, San Juan, PR 00929 | 2007-02-08 |
| 1710023668 | Jose Rafael Carlo-izquierdo | Psychiatry & Neurology | Ppmi-rcm Ave. Americo Miranda Aptdo. 19134, Centro Medico De Pr Edif Principal Escuela De Medicina, San Juan, PR 00929 | 2007-01-29 |
| 1841273224 | Complejo Medico Social Home Care | Home Health | Ave. 65th Infanteria Bo. Sabana Llana, San Juan, PR 00929 | 2005-11-21 |
| 1841271418 | San Juan Aging | Rehabilitation Unit | Ave. 65th Infantery Bo. Sabana Llana, San Juan, PR 00929 | 2005-11-09 |
| Find all providers in zip 00929 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669973335 | Lluvia De Amor Corp | Nursing Facility/Intermediate Care Facility | 108 Calle Diez De Andino, San Juan, PR 00911-2121 | 2018-02-27 |
| 1902135288 | G&g Administrative Services LLC | Nursing Facility/Intermediate Care Facility | Carr 844 Km 4.6 Kamino Pedro Angulo, San Juan, PR 00986 | 2009-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942614789 | Ambassador Veterans Services of Puerto Rico | Nursing Facility/Intermediate Care Facility | Carretera 592 Km 5.6, Bo. Amuelas #115, Juana Diaz, PR 00795-2409 | 2014-06-19 |
| 1578835591 | Aps Health Care | Nursing Facility/Intermediate Care Facility | State Rd 121 Pm 13.3 Setro 4 Calles, Central Professional Belsur, Yauco, PR 00698 | 2012-02-07 |
| 1780952713 | Tu Mejor Temporada | Nursing Facility/Intermediate Care Facility | Calle Sonia Aj8 Villa Rica, Bayamon, PR 00959 | 2011-12-05 |
| 1023313053 | Mar Billing | Nursing Facility/Intermediate Care Facility | Hc 44 Box 12959, Cayey, PR 00736-9741 | 2011-01-23 |
| 1942432695 | Grupo De Servicios Medicos Cdv | Nursing Facility/Intermediate Care Facility | 115 Carr 592, Bo. Amuelas, Juana Diaz, PR 00795-2409 | 2009-08-13 |
| 1790932549 | Bridges for Health, Inc. | Nursing Facility/Intermediate Care Facility | 115 Carr 592 # Sr, Juana Diaz, PR 00795-2409 | 2008-08-23 |
| 1235392846 | Hatillo Nursing Home Inc | Nursing Facility/Intermediate Care Facility | Carr #487 Km 0.3, Hatillo, PR 00659 | 2008-07-03 |
| 1740449834 | Golden Age Garden Nursing Home | Nursing Facility/Intermediate Care Facility | Hc 67 Box 15513, Fajardo, PR 00738-9705 | 2008-06-04 |
| 1508035155 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | Bo. Lomas, Carr 186 Km 4 Hm 0, Canovanas, PR 00729-9782 | 2008-02-28 |
| 1952475535 | Prang | Nursing Facility/Intermediate Care Facility | Camp Santiago, Salinas, PR 00751 | 2006-11-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.