# HOSPITAL ANDRES GRILLASCA,INC

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

## Provider details

- **NPI number:** 1265594378
- **Authorized official:** MR. ELYONEL PONTON COO (CHIEF OPERATION OFFICER)
- **Authorized official phone:** (787) 848-0800

## Contact information

- **Practice address:** TITO CASTRO AVE CARR 14 BO MACHUELO, PONCE, PR 00733-1324
- **Practice address phone:** (787) 848-0800
- **Practice address fax:** (787) 840-9732
- **Mailing address:** PO BOX 331324, PONCE, PR 00733-1324
- **Mailing address phone:** (787) 848-0800
- **Mailing address fax:** (787) 840-9732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 08/22/2020