Organization
HOSPITAL MENONITA DE HUMACAO INC
Active
Parent organization
HOSPITAL MENONITA HUMACAO INC
Other names
Centro de Salud Familiar Yabucoa
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL MENONITA HUMACAO INC
Authorized official
LISSETTE VASQUEZ RIVERA (DIRECTOR OF BILLING AND COLLECTION)
(787) 852-0505
Entity
Organization
Contact information
Practice address
CARR 901 KM 5 SALIDA HACIA CAMINO NUEVO, YABUCOA, PR 00767
(787) 434-1700
(787) 434-1715
Mailing address
PO BOX 1650, CIDRA, PR 00739-1650
(787) 434-1700
(787) 434-1715
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-125
CNC
PR
Enumeration date
04/26/2019
Last updated
06/06/2024
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