# MENNONITE GENERAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MENNONITE GENERAL HOSPITAL, INC
- **Other names:** Centro de Cuidado de Ulcera y Quemaduras Menonita
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821546458
- **Legal business name:** MENNONITE GENERAL HOSPITAL, INC
- **Authorized official:** LISSETTE VAZQUEZ (BILLING MANAGER)
- **Authorized official phone:** (787) 434-1700

## Contact information

- **Practice address:** PR STATE ROAD 908 KM 0.4, BARRIO TEJAS, HUMACAO, PR 00791-0000
- **Practice address phone:** (787) 434-1700
- **Practice address fax:** (787) 434-1714
- **Mailing address:** PO BOX 1650, CIDRA, PR 00739-1650
- **Mailing address phone:** (787) 434-1700
- **Mailing address fax:** (787) 434-1714

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2016
- **Last updated:** 09/12/2016
