Organization
HOSPITAL MENONITA CAGUAS INC
Active
Parent organization
HOSPITAL MENONITA CAGUAS INC
Other names
Grupo Medico Primario Menonita
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL MENONITA CAGUAS INC
Authorized official
LISSETTE VASQUEZ RIVERA (BILLING MANAGER)
(787) 434-1700
Entity
Organization
Contact information
Practice address
CALLE WILLIAM FONT INTERIOR, CULEBRA, PR 00775-0000
(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
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400104
—
PR
Enumeration date
06/28/2019
Last updated
06/28/2019
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