Organization
MENNONITE GENERAL HOSPITAL INC
Active
Other names
Centro de Cuidado de Heridas y Ulceras Menonita
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE VASQUEZ RIVERA (DIRECTOR OF BILLING AND COLLECTOR)
(787) 434-1700
Entity
Organization
Contact information
Practice address
CALLE JOSE C VAZQUEZ INTERIOR, BO CAONILLAS, AIBONITO, PR 00705-1379
(787) 434-1700
(787) 434-1711
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037681100
—
PR
Enumeration date
09/07/2021
Last updated
09/07/2021
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