# BUEN SAMARITANO PREMIUM HEALTHCARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL COMUNITARIO BUEN SAMARITANO INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417473646
- **Legal business name:** HOSPITAL COMUNITARIO BUEN SAMARITANO INC
- **Authorized official:** MR. LUIS ALBERTO ACOSTA (FISCAL SERVICE MANAGER)
- **Authorized official phone:** (787) 658-0000

## Contact information

- **Practice address:** 18 AVE SEVERIANO CUEVAS, BO CAIMITAL BAJO, AGUADILLA, PR 00603
- **Practice address phone:** (787) 658-0000
- **Mailing address:** PO BOX 4055, AGUADILLA, PR 00605-4055
- **Mailing address phone:** (787) 658-0000
- **Mailing address fax:** (787) 658-0640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2017
- **Last updated:** 08/18/2017