On Site Preventive Medicine Csp

LBN: On Site Preventive Medicine Csp
On Site Preventive Medicine Csp is an health care organization with primary practice located at 400 Ave Fd Roosevelt Ste 409 , San Juan PR 00918-2163. The organization recently has 9 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Public Health, State or Local, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Prison Health, Ambulatory Health Care Facilities / Rural Health, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic, Suppliers / Non-Pharmacy Dispensing Site, Suppliers / Emergency Response System Companies. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. On Site Preventive Medicine Csp can be contacted via phone (787) 903-6100, or through Blondet, Maximo C via phone (787) 409-5869.

Contact Information

Primary practice address
400 Ave Fd Roosevelt Ste 409 San Juan PR 00918-2163
Phone: (787) 903-6100
Fax: (787) 273-0935
Website:
Map and Directions
Authorized official contact:
Name: Blondet, Maximo C Doctor of Medicine (MD)
Phone: (787) 409-5869

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Prison Health 261QP2400X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X
Suppliers / Non-Pharmacy Dispensing Site 332900000X
Suppliers / Emergency Response System Companies 333300000X

Profile Details

NPI number 1912591041
LBN Legal business name On Site Preventive Medicine Csp
DBA Doing business as
Authorized official Blondet, Maximo C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2021
Last updated Mar 23rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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