# HOSPITAL SAN CARLOS INCORPORADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HOSPITAL SAN CARLOS BORROMEO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104856889
- **Authorized official:** MRS. SARAH I VILLANUEVA MHSA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 877-8000

## Contact information

- **Practice address:** CARR. 110 BARRIO PUEBLO, CALLE CONCEPCION VERA NUM. 550 S., MOCA, PR 00676-0068
- **Practice address phone:** (787) 877-8000
- **Practice address fax:** (787) 877-5610
- **Mailing address:** PO BOX 68, MOCA, PR 00676-0068
- **Mailing address phone:** (787) 877-8000
- **Mailing address fax:** (787) 877-5610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 282NR1301X | Rural Acute Care Hospital | 20 | PR | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 11/15/2024