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Organization
HOSPITAL INDUSTRIAL
Active
Organization
HOSPITAL INDUSTRIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE VEGA MHSA (EXECUTIVE DIRECTOR)
(787) 764-3660
Entity
Organization
Contact information
Practice address
BO. MONACILLOS CENTRO MEDICO, SAN JUAN, PR 00936
(787) 764-3660
(787) 767-3968
Mailing address
PO BOX 365028, SAN JUAN, PR 00936-5028
(787) 764-3660
(787) 767-3968
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
25
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25
STATE LICENSE
PR
Enumeration date
04/20/2007
Last updated
08/22/2020
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