Organization · Type 2 NPI

On Site Preventive Medicine CSP

Clinic/Center · San Juan, PR

NPI number 1912591041 Active

Practice location

400 Ave Fd Roosevelt Ste 409
San Juan, PR 00918-2163

Call (787) 903-6100 Map

Fax (787) 273-0935

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed
Health Service Clinic/Center 261QH0100XNone listed
State or Local Public Health Clinic/Center 261QP0905XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Prison Health Clinic/Center 261QP2400XNone listed
Rural Health Clinic/Center 261QR1300XNone listed
Sleep Disorder Diagnostic Clinic/Center 261QS1200XNone listed
Non-Pharmacy Dispensing Site 332900000XNone listed
Emergency Response System Companies 333300000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1912591041

On Site Preventive Medicine CSP's National Provider Identifier is 1912591041, issued on Mar 1, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Juan, PR. The record was last updated on Mar 23, 2021.