SAN JUAN AGING CENTER (NPI# 1295000347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295000347 |
| Entity Type | Organization |
| Organization Name | SAN JUAN AGING CENTER |
| Practice Address |
1187 Calle 46 Se Urbanizacion Reparto Metropolitano San Juan PR 00921-2625 |
| Mailing Address |
1187 Calle 46 Se Reparto Metropolitano San Juan PR 00921-2625 |
| Practice Telephone | 7874805402 |
| Practice Fax Number | 7877649904 |
| Mailing Telephone | 7874805402 |
| Mailing Fax Number | 7876499904 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | DR. JOSEFA COTTO (SUP. DEP DE FACTURACION) |
| Authorized Official Telephone | 7874803876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
25487 | PR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | NURSE LICENSE | 25487 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023099793 | San Juan Aging Center | Nursing Facility/Intermediate Care Facility | Ave. 65 Infantery Bo. Sabana Llana, San Juan, PR 00929 | 2005-11-09 |
| Street Address |
1187 CALLE 46 SE URBANIZACION REPARTO METROPOLITANO |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00921-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291540 | Valeria Lozada Miranda | Student in an Organized Health Care Education/Training Program | Hospital Universitario Centro Medico, San Juan, PR 00921 | 2020-10-06 |
| 1710593983 | Alicia Yare Alvarez | Social Worker | 1 Calle Maga Final Pabellon G, Centro Medico, San Juan, PR 00921 | 2020-09-22 |
| 1851919310 | Adriana Lucia Guarachi | Student in an Organized Health Care Education/Training Program | Centro Medico Hospital Pediatrico Universitario, San Juan, PUERTO RICO 00921 | 2020-07-10 |
| 1295353910 | Vmedical Group Psc | General Practice | Calle 10 So #1534, Caparra Terrace, San Juan, PR 00921 | 2020-07-09 |
| 1265059281 | Juliara Enid Ortiz Santana | Student in an Organized Health Care Education/Training Program | Centro Medico De Pr, Bo. Monacillos, San Juan, PR 00921 | 2020-06-26 |
| 1326664442 | Antonio Jose Santos Roca | Student in an Organized Health Care Education/Training Program | Paseo Dr. Jose Celso, University of Puerto Rico Medical Sciences Campus, San Juan, PR 00921 | 2020-06-24 |
| 1245856848 | Mayra A Colon Lopez | Dentist | Medical Sciences Campus, Paseo Dr. Jose Celso Barbosa, San Juan, PR 00921 | 2020-06-19 |
| 1134752470 | Keila Marie Drowne | Registered Nurse | Caparra Terrace So, 1507 Calle 16, San Juan, PR 00921 | 2020-02-14 |
| 1730711201 | Jose J. Betancourt | Student in an Organized Health Care Education/Training Program | School of Medicine, Paseo Dr. Jose Celso Barbosa, San Juan, PR 00921 | 2020-02-12 |
| 1437781085 | Boriq LLC | Chiropractor | Urb. Santiago Iglesias 1404 Ave Paz Granela, Suite C1, San Juan, PR 00921 | 2020-02-11 |
| Find all providers in zip 00921 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699265496 | Confiability Care Services LLC | Custodial Care Facility | 574 Calle Pontevedra, San Juan, PR 00923-1532 | 2018-05-16 |
| 1558570747 | Hogar Aurora De Las Mercedes Inc. | Custodial Care Facility | 690 Calle Cupido, Venus Gardens, San Juan, PR 00926-4804 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609491208 | Hogar Las Aguilas Incorporado | Custodial Care Facility | La Rambla Office Park, 621 Carr 14 Calle Marginal, Ponce, PR 00716 | 2020-06-10 |
| 1881099083 | Centro De Servicios Geriatricos Nazario | Custodial Care Facility | J8 8 Street, Alturas De Luchetty, Manati, PR 00674-6013 | 2014-10-30 |
| 1356746572 | Opcion De Vida ' Tu Alternativa' Inc. | Custodial Care Facility | 437 Calle Fraternidad, Barriada Obrera, Fajardo, PR 00738-4526 | 2014-10-30 |
| 1841612322 | Los Pinos Nursing Home, Inc | Custodial Care Facility | Villa Retorno #80 Pinos Street, Sabana Ward, Vega Alta, PR 00692 | 2014-01-17 |
| 1548501752 | Baudilio & Carmela Home Care Inc. | Custodial Care Facility | Bo. Camarones Sector Hato Puerco Carr 150 Km.3.5, Villalba, PR 00766 | 2013-03-13 |
| 1720330426 | Institucionparaancianoselparaisodevillalba | Custodial Care Facility | Pmb 279 Box 6004, Carr 150 Km 9.9 Bo Caonillas Abajo Sector Palmasola, Villalba, PR 00766 | 2012-10-05 |
| 1295053163 | Assmca | Custodial Care Facility | 82 Calle 2, Bo Juan Sanchez, Bayamon, PR 00960 | 2010-05-17 |
| 1124358817 | Hogar Dona Ana, Inc | Custodial Care Facility | Levittown Lakes, Ff5 Jose De Diego 6ta Seccion, Toa Baja, PR 00949-0000 | 2010-01-04 |
| 1053557355 | Hogar San Jose | Custodial Care Facility | Avenida Santa Teresa Journet, Hormigueros, PR 00660 | 2008-12-17 |
| 1487810479 | Hogar San German De Auxerre, Inc | Custodial Care Facility | 10 Calle Azorin, Bo Ancones, San German, PR 00683-4242 | 2008-07-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAN JUAN AGING CENTER.
| 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.