CEIBA VA CLINIC (4013) INSTITUTION (4)

Name	Value
NAME	CEIBA VA CLINIC
STATE	PUERTO RICO
STREET ADDR. 1	BLDG 3, PR3 KM54.9, PUEBLO WRD
CITY	CEIBA
ZIP	00735-9998
OFFICIAL VA NAME	CEIBA VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: SAN JUAN VA MEDICAL CENTER
BILLING FACILITY NAME	CEIBA VA CBOC
EFFECTIVE DATE/TIME	2011-11-30 00:00:00 STATUS: ACTIVE NPI: 1275801029
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	ATLANTIC
COUNTRY	USA
TIMEZONE EXCEPTION	SST Only
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	672GD
IDENTIFIER	CODING SYSTEM: CLIA ID: 40D2038750