SAN JUDAS MEDICAL SERVICES – NPI #1619079944
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SAN JUDAS MEDICAL SERVICES is a provider located in CAROLINA, PR. NPPES has assigned the NPI number 1619079944 to SAN JUDAS MEDICAL SERVICES on September 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Oct 17, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN JUDAS MEDICAL SERVICES below.

NPI Profile for
SAN JUDAS MEDICAL SERVICES

NPI Number
1619079944
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN JUDAS MEDICAL SERVICES
Primary location
AVE ROBERTO CLEMENTE 124-8
VILLA CAROLINA
CAROLINA, PR 00985
Phone: (787) 750-4920 Fax:
Mailing address
PO BOX 3628
CAROLINA, PR 00984-3628
Phone: (787) 750-4920 Fax: (787) 276-4275
Organization Subpart
No
Authorized Official
YOLANDA RAMIREZ
SUPERVISORA
Phone: (787) 750-5245
Updated
Certification Date
Oct 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
PR 16321
261Q00000X
- Clinic/Center
208000000X
- Pediatrics
PR 5799
207V00000X
- Obstetrics & Gynecology
PR 6414
207R00000X
- Internal Medicine
PR 7219
207Q00000X
- Family Medicine
PR 10945
133NN1002X
- Nutritionist / Nutrition, Education
PR 237

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.