Organization
MENNONITE GENERAL HOSPITAL INC.
Active
Other names
Centro de Salud Conductual Menonita CIMA Humacao
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE VASQUEZ RIVERA (DIRECTOR)
(787) 434-1700
Entity
Organization
Contact information
Practice address
BOULEVARD DEL RIO OFFICE BUILDING A-3, RAMAL 3, BO CTANO, HUMACAO, PR 00791-0073
(787) 434-1700
(787) 434-1711
Mailing address
PO BOX 1650, CIDRA, PR 00739-1650
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 OPERACIONAL
PR
Enumeration date
11/28/2022
Last updated
01/24/2025
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