Organization
MENNONITE GENERAL HOSPITAL, INC
Active
Other names
Centro de Salud Conductual Menonita CIMA Aibonito
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE VASQUEZ RIVERA (DIRECTORA FACTYRACION Y COBRO)
(765) 434-1700
Entity
Organization
Contact information
Practice address
CALLE SARGENTO GERARDO SANTIAGO CARRETERA 14 INTERIOR, AIBONITO, PR 00705-1379
(787) 535-1001
(787) 535-1114
Mailing address
PO BOX 871, AIBONITO, PR 00705-0871
(787) 434-1700
(787) 735-3749
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6
LICENCIA SALUD
PR
Enumeration date
04/09/2015
Last updated
01/24/2025
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