# BELLA VISTA HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BELLA VISTA HOSPITAL, INC
- **Other names:** Bella Vista ENT Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164775151
- **Legal business name:** BELLA VISTA HOSPITAL, INC
- **Authorized official:** MR. LUIS RIVERA (DIRECTOR)
- **Authorized official phone:** (787) 834-6000

## Contact information

- **Practice address:** STREET 349 KM 2.7, MAYAGUEZ, PR 00681
- **Practice address phone:** (787) 652-6031
- **Practice address fax:** (787) 805-3705
- **Mailing address:** PO BOX 1750, MAYAGUEZ, PR 00681-1750
- **Mailing address phone:** (787) 652-6031
- **Mailing address fax:** (787) 805-3705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2012
- **Last updated:** 10/02/2024