Organization
MENNONITE GENERAL HOSPITAL INC
Active
Parent organization
MENNONITE GENERAL HOSPITAL INC
Other names
Hospital Menonita de Aibonito, Centro Radiologico Hospital Menonita Barranquitas
Organization subpart
Yes
Provider details
NPI number
Legal business name
MENNONITE GENERAL HOSPITAL INC
Authorized official
LISSETTE VASQUEZ RIVERA (BILLING MANAGER)
(787) 434-1700
Entity
Organization
Contact information
Practice address
CARRETERA 156 KM 16.5, CALLE BARCELO BO QUEBRADA GRANDE, BARRANQUITAS, PR 00720
(787) 434-1700
(787) 434-1700
Mailing address
PO BOX 1650, CIDRA, PR 00739-1650
(787) 434-1700
(787) 434-1714
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660215798
—
PR
Enumeration date
05/18/2018
Last updated
06/16/2018
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