UTUADO VA CLINIC (4015) INSTITUTION (4)

Name	Value
NAME	UTUADO VA CLINIC
STATE	PUERTO RICO
STREET ADDR. 1	CALLE ISAAC GONZALEZ ESQUINA LEDESMA
CITY	UTUADO
ZIP	00641-2635
OFFICIAL VA NAME	UTUADO VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: SAN JUAN VA MEDICAL CENTER
BILLING FACILITY NAME	UTUADO VA OOS
EFFECTIVE DATE/TIME	2014-10-01 00:00:00 STATUS: ACTIVE NPI: 1619375870
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	ATLANTIC
COUNTRY	USA
TIMEZONE EXCEPTION	SST Only
STATION NUMBER	672QB