# PRESBYTERIAN COMMUNITY HOSPITAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114796083
- **Authorized official:** LUIS A RODRIGUEZ (AUDIT AND BILLING MANAGER)
- **Authorized official phone:** (787) 721-2160

## Contact information

- **Practice address:** 1451 AVE ASHFORD, SAN JUAN, PR 00907-1511
- **Practice address phone:** (787) 721-2160
- **Practice address fax:** (787) 724-4986
- **Mailing address:** PO BOX 9020032, SAN JUAN, PR 00902-0032
- **Mailing address phone:** (787) 721-2160
- **Mailing address fax:** (787) 724-4986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 12/20/2023