SSJ300 LLC
NPI 1053282251
Clinic/Center - Ambulatory Surgical in San Juan, PR
About Ssj300 Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SSJ300 LLC (NPI 1053282251) is a healthcare organization registered as an ambulatory surgical in San Juan, Puerto Rico and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Rafael Alejandro Couto, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 40D2321879
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- April 11, 2025
- Certificate Expiration Date
- April 10, 2027
- Laboratory Director
- DR. RAFAEL A. COUTO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ssj300 Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053282251, enumerated as an "organization" on September 12, 2025.
The provider is located at 373 CALLE SAN JORGE, SUITE 100 SAN JUAN, PR 00912 and the phone number is (787) 422-0004.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
