Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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On Site Preventive Medicine Csp

Organization Clinic/Center · NPI 1912591041

On Site Preventive Medicine Csp is a Clinic/Center in San Juan, Puerto Rico. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
9
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

400 Ave Fd Roosevelt Ste 409
San Juan, PR 00918-2163
Phone: (787) 903-6100
Fax: (787) 273-0935

No coordinates on file. Search this address in Google Maps

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Health Service Clinic/Center Taxonomy 261QH0100X
State or Local Public Health Clinic/Center Taxonomy 261QP0905X
Primary Care Clinic/Center Taxonomy 261QP2300X
Prison Health Clinic/Center Taxonomy 261QP2400X
Rural Health Clinic/Center Taxonomy 261QR1300X
Sleep Disorder Diagnostic Clinic/Center Taxonomy 261QS1200X
Non-Pharmacy Dispensing Site Taxonomy 332900000X
Emergency Response System Companies Taxonomy 333300000X

Record details

NPI number1912591041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maximo Blondet — Owner · (787) 409-5869
Other names On Site Preventive Medicine Csp
NPI enumeratedMarch 1, 2021
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021
Mailing address400 Ave Fd Roosevelt Ste 409, San Juan, PR 00918-2163

Other providers in San Juan