# HOSPITAL MENONITA HUMACAO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HOSPITAL MENONITA HUMACAO INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578196820
- **Authorized official:** LISSETTE VAZQUEZ RIVERA (DIRECTOR OF BILLING AND COLLECTION)
- **Authorized official phone:** (787) 434-1700

## Contact information

- **Practice address:** NUMERO 300 AVENIDA FONT MARTELLO, HUMACAO, PR 00792-8630
- **Practice address phone:** (787) 434-1700
- **Practice address fax:** (787) 434-1715
- **Mailing address:** PO BOX 1650, CIDRA, PR 00739-1650
- **Mailing address phone:** (787) 434-1700
- **Mailing address fax:** (787) 434-1715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2020
- **Last updated:** 02/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 44 | HEALTH DEPARTMENT LICENCE | PR |