SAN JUAN VA MOBILE CLINIC (4645) INSTITUTION (4)

Name	Value
NAME	SAN JUAN VA MOBILE CLINIC
STATE	PUERTO RICO
STREET ADDR. 1	10 CALLE CASIA
CITY	SAN JUAN
ZIP	00921-3200
OFFICIAL VA NAME	SAN JUAN VA MOBILE CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: SAN JUAN VA MEDICAL CENTER
BILLING FACILITY NAME	SAN JUAN VA MOBILE CLINIC
EFFECTIVE DATE/TIME	2023-09-26 00:00:00 STATUS: ACTIVE NPI: 1699554956
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	ATLANTIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	672QD
HISTORY