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Organization
MENNONITE GENERAL HOSPITAL INC.
Active
Organization
MENNONITE GENERAL HOSPITAL INC.
Active
Other names
Centro de Salud Conductual Menonita CIMA Humacao
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE VASQUEZ RIVERA (DIRECTOR)
(787) 434-1700
Entity
Organization
Contact information
Practice address
BOULEVARD DEL RIO OFFICE BUILDING A-3, RAMAL 3, BO CTANO, HUMACAO, PR 00791-0073
(787) 434-1700
(787) 434-1711
Mailing address
PO BOX 1650, CIDRA, PR 00739-1650
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6
LICENCIA OPERACIONAL
PR
Enumeration date
11/28/2022
Last updated
01/24/2025
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