# HOSPITAL MENONITA PONCE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL MENONITA PONCE INC
- **Other names:** Farmacia OPD-Hospital Menonita Ponce
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831899855
- **Legal business name:** HOSPITAL MENONITA PONCE INC
- **Authorized official:** LISSETTE VAZQUEZ RIVERA (DIRECTORA)
- **Authorized official phone:** (787) 434-1700

## Contact information

- **Practice address:** CARR PR 506 KM 1.0, BO COTO LAUREL, PONCE, PR 00780-0000
- **Practice address phone:** (787) 434-1700
- **Practice address fax:** (787) 848-0022
- **Mailing address:** PO BOX 1650, CIDRA, PR 00739-1650
- **Mailing address phone:** (787) 901-5855
- **Mailing address fax:** (787) 848-0022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2023
- **Last updated:** 03/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | F-985081 | LICENCIA OPERACIONAL | PR |