SAN JUAN VAMC (NPI# 1962450767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962450767 |
| Entity Type | Organization |
| Organization Name | SAN JUAN VAMC |
| Other Organization Name | SAN JUAN VAMC PHARMACY |
| Practice Address |
10 Calle Casia San Juan PR 00921-3200 |
| Mailing Address |
Po Box 140814 Orlando FL 32814-0814 |
| Practice Telephone | 7876417582 |
| Practice Fax Number | 7875222991 |
| Mailing Telephone | 4076224118 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332100000X | Department of Veterans Affairs (VA) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCPDP# | 4024030 | 01 |
| Other Name | Type Code |
|---|---|
| SAN JUAN VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902294242 | San Juan Vamc | Clinic/Center | Road 997, Vieques, PR 00765-9998 | 2015-01-08 |
| 1447648563 | San Juan Vamc | Clinic/Center | Jose De Diego Street, Suite 15, Comerio, PR 00782-2531 | 2014-12-23 |
| 1275801029 | San Juan Vamc | Clinic/Center | Building Lot #3, Pr-3 Km 54.9, Pueblo Ward, Ceiba, PR 00735-9998 | 2011-12-08 |
| 1184668329 | San Juan Vamc | Clinic/Center | Rr 2 Box 10553 Kingshill, The Village Mall #113, St. Croix, VI 00850-4701 | 2006-06-16 |
| 1851331557 | San Juan Vamc | Clinic/Center | 850 Calle Arnaldo Bristol, Suite 1, Guayama, PR 00784-6876 | 2006-06-08 |
| 1316986367 | San Juan Vamc | Clinic/Center | Medical Foundation Building, Suite 101, St Thomas, VI 00802 | 2006-06-05 |
| 1356380786 | San Juan Vamc | Clinic/Center | Paseo Del Veterano #1010, Ponce, PR 00716-2001 | 2006-06-04 |
| 1184662843 | San Juan Vamc | Clinic/Center | 345 Hostos Ave, Mayaguez, PR 00680-1507 | 2006-06-03 |
| 1730130915 | San Juan Vamc | Clinic/Center | Zona Industrial Rd 129, Hospital Metropolitano, Victor Rojas II, Arecibo, PR 00612-3085 | 2006-05-13 |
| 1235189770 | San Juan Vamc | General Acute Care Hospital | 10 Casia St., San Juan, PR 00921-3200 | 2006-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAN JUAN VAMC | 10 Calle Casia, San Juan, PR 00927-3200 |
| Street Address |
10 CALLE CASIA |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00921-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802051 | Jose Martin Ortiz | Internal Medicine | 10 Calle Casia, Va Caribbean Healthcare System, San Juan, PR 00921-3200 | 2005-06-23 |
| 1316547292 | Felipe Javier Roman Sanchez | Nurse Practitioner | 10 Calle Casia, San Juan, PR 00921-3200 | 2020-10-29 |
| 1952915993 | Khalil Pellicier Rodriguez | Licensed Practical Nurse | 10 Calle Casia, San Juan, PR 00921-3200 | 2020-09-08 |
| 1780292003 | Lilliana Aviles-ruiz | Psychologist | 10 Calle Casia, San Juan, PR 00921-3200 | 2020-07-22 |
| 1649894510 | Ariel Martinez | Registered Nurse | 10 Calle Casia, San Juan, PR 00921-3200 | 2020-06-05 |
| 1063035855 | Stephanie Pagan | Pharmacist | 10 Calle Casia, San Juan, PR 00921-3200 | 2020-05-27 |
| 1982226049 | Luis Javier Justiniano-torres | Pharmacist | 10 Calle Casia, San Juan, PR 00921-3200 | 2020-05-12 |
| 1598387623 | Joel Alberto Baez-rodriguez | Pharmacist | 10 Calle Casia, San Juan, PR 00921-3200 | 2020-05-12 |
| 1679195168 | Melissa De Jesus | Occupational Therapy Assistant | 10 Calle Casia, San Juan, PR 00921-3200 | 2020-05-07 |
| 1194344861 | Rosemarie Rodriguez - Vargas | Nurse Practitioner | 10 Calle Casia, San Juan, PR 00921-3200 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291540 | Valeria Lozada Miranda | Student in an Organized Health Care Education/Training Program | Hospital Universitario Centro Medico, San Juan, PR 00921 | 2020-10-06 |
| 1710593983 | Alicia Yare Alvarez | Social Worker | 1 Calle Maga Final Pabellon G, Centro Medico, San Juan, PR 00921 | 2020-09-22 |
| 1851919310 | Adriana Lucia Guarachi | Student in an Organized Health Care Education/Training Program | Centro Medico Hospital Pediatrico Universitario, San Juan, PUERTO RICO 00921 | 2020-07-10 |
| 1295353910 | Vmedical Group Psc | General Practice | Calle 10 So #1534, Caparra Terrace, San Juan, PR 00921 | 2020-07-09 |
| 1265059281 | Juliara Enid Ortiz Santana | Student in an Organized Health Care Education/Training Program | Centro Medico De Pr, Bo. Monacillos, San Juan, PR 00921 | 2020-06-26 |
| 1326664442 | Antonio Jose Santos Roca | Student in an Organized Health Care Education/Training Program | Paseo Dr. Jose Celso, University of Puerto Rico Medical Sciences Campus, San Juan, PR 00921 | 2020-06-24 |
| 1245856848 | Mayra A Colon Lopez | Dentist | Medical Sciences Campus, Paseo Dr. Jose Celso Barbosa, San Juan, PR 00921 | 2020-06-19 |
| 1134752470 | Keila Marie Drowne | Registered Nurse | Caparra Terrace So, 1507 Calle 16, San Juan, PR 00921 | 2020-02-14 |
| 1730711201 | Jose J. Betancourt | Student in an Organized Health Care Education/Training Program | School of Medicine, Paseo Dr. Jose Celso Barbosa, San Juan, PR 00921 | 2020-02-12 |
| 1437781085 | Boriq LLC | Chiropractor | Urb. Santiago Iglesias 1404 Ave Paz Granela, Suite C1, San Juan, PR 00921 | 2020-02-11 |
| Find all providers in zip 00921 | ||||
| Taxonomy Code | 332100000X |
| Grouping | Suppliers |
| Classification | Department of Veterans Affairs (VA) Pharmacy |
| Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital’s DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service. |
| Notes: Source: Pharmacy Benefits Management – Strategic Healthcare Group, Veterans Health Administration, Department of Veterans Affairs [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972948891 | Azuart Dme LLC | Department of Veterans Affairs (VA) Pharmacy | 1006 San Francisco St, San Juan, TX 78589-3816 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427016187 | San Juan Vamc | Department of Veterans Affairs (VA) Pharmacy | 175 Ave Algarrobo, Mayaguez, PR 00682-6331 | 2006-05-03 |
| 1043268683 | San Juan Vamc | Department of Veterans Affairs (VA) Pharmacy | 1010 Paseo Del Veterano, Ponce, PR 00716-2001 | 2006-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.