SSJ300 LLC
NPI 1053282251
Clinic/Center - Ambulatory Surgical in San Juan, PR

Active since September 12, 2025CLIA 40D2321879 · Waiver
373 CALLE SAN JORGE, SUITE 100, SAN JUAN, PR 00912(787) 422-0004 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1053282251
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSSJ300 LLC
Location Address373 CALLE SAN JORGE, SUITE 100San Juan, PR 00912-3312
Mailing Address373 Calle San Jorge, Suite 100San Juan, PR 00912-3312 · (787) 422-0004
Organization SubpartNo
Authorized OfficialRafael Alejandro CoutoPresident · (787) 671-0416
Enumeration DateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
NPI 1053282251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 40D2321879

Ssj 300 LLC · San Juan, PR
Active · expires Apr 10, 2027
CLIA Number40D2321879
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorDr. Rafael A. Couto
Laboratory Phone(787) 671-0416
Laboratory LocationSsj 300 LLC373 Calle San Jorge, Suite 100, San Juan, PR 00912
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ssj300 LLC's NPI number?

The NPI number for Ssj300 LLC is 1053282251. It was assigned to this organization in the NPPES registry on September 12, 2025.

Where is Ssj300 LLC located?

Ssj300 LLC is located at 373 Calle San Jorge, Suite 100, San Juan, PR 00912. The listed phone number is (787) 422-0004.

What is Ssj300 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Ssj300 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 40D2321879) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ssj300 LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.