Organization
HOSPITAL ANDRES GRILLASCA,INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL J VAZQUEZ MHSA (EXCUTIVE DIRECTOR)
(787) 848-0800
Entity
Organization
Contact information
Practice address
TITO CASTRO AVE.CARR. 14 BO. MACHUELO, PONCE, PR 00733-1324
(787) 848-0800
(787) 843-2310
Mailing address
PO BOX 331324, PONCE, PR 00733-1324
(787) 848-0800
(787) 843-2310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
12
PR
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
12
PR
Other
Enumeration date
04/18/2007
Last updated
06/28/2011
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