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Organization
MENNONITE GENERAL HOSPITAL INC.
Active
Organization
MENNONITE GENERAL HOSPITAL INC.
Active
Other names
Wound Care Menonita Ponce
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE VAZQUEZ RIVERA (DIRECTOR)
(787) 434-1700
Entity
Organization
Contact information
Practice address
CARR PR 506 KM 1.0, BO COTO LAUREL, PONCE, PR 00780-0000
(787) 434-1700
(787) 434-1715
Mailing address
PO BOX 1650, CIDRA, PR 00739-1650
(787) 434-1700
(787) 434-1711
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038390600
—
PR
Enumeration date
11/30/2022
Last updated
11/30/2022
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