# MENNONITE GENERAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hospital Menonita de Aibonito
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760853089
- **Authorized official:** LISSETTE VAZQUEZ RIVERA (BILLING MANAGER)
- **Authorized official phone:** (787) 535-1001

## Contact information

- **Practice address:** CALLE JOSE C VAZQUEZ, BO CAONILLAS, AIBONITO, PR 00705-1379
- **Practice address phone:** (787) 535-1001
- **Practice address fax:** (787) 535-1114
- **Mailing address:** PO BOX 372800, CAYEY, PR 00737-2800
- **Mailing address phone:** (787) 535-1001
- **Mailing address fax:** (787) 535-1114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2015
- **Last updated:** 10/13/2015