# CENTRO CIRUGIA AMBULATORIA HOSPITAL SAN ANTONIO

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

## Provider details

- **NPI number:** 1639316995
- **Authorized official:** MRS. LINDA K ROY (BILLING DIRECTOR)
- **Authorized official phone:** (787) 806-1118

## Contact information

- **Practice address:** RAMON EMETERIO BETANCES 18 NORTE, MAYAGUEZ, PR 00681-0546
- **Practice address phone:** (787) 834-0050
- **Practice address fax:** (787) 834-2104
- **Mailing address:** P O BOX 546, MAYAGUEZ, PR 00681-0546
- **Mailing address phone:** (787) 834-0050
- **Mailing address fax:** (787) 834-2104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 29 | PR | Yes |

## Other

- **Enumeration date:** 01/08/2009
- **Last updated:** 01/08/2009