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Organization
HOSPITAL SANTA ROSA INC
Active
Organization
HOSPITAL SANTA ROSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA DIAZ VILA (ADMINISTRATOR)
(787) 864-0810
Entity
Organization
Contact information
Practice address
AVE LOS VETERANOS CARR 3 SALIDA HACIA ARROYO, GUAYAMA, PR 00784
(787) 864-0101
(787) 866-0489
Mailing address
PO BOX 10008, GUAYAMA, PR 00785
(787) 864-0101
(787) 866-0489
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
LICENSE39
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120596
ACAA COMP MEDICO
—
01
—
030131
LA CRUZ AZUL DE PR
—
01
—
10034SA
SSS HOSP
—
01
—
1169
IMC
—
01
—
17034SA
SSS DED
—
01
—
18034SA
SSS CIR AMB
—
01
—
19034SA
SSS EMERG
—
01
—
300041
PREFERRED HEALTH
—
01
—
30083SA
SSS OPD
—
01
—
5000181
ACAA EMER Y ANCILARES
—
01
—
6540001
HUMANA HEALTH INS
—
01
—
73501
FSE
—
01
—
FH0604
UIA
—
01
—
H301
PLAN DE SALUD MENONITA
—
Enumeration date
09/21/2006
Last updated
04/20/2008
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