Organization
SAINT LUKES MEMORIAL HOSPITAL INC
Active
Other names
Hospital San Lucas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN GUILLEN CPA (ASSISTANT CHIEF FINANCIAL OFFICER)
(787) 844-2080
Entity
Organization
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
PO BOX 336810, PONCE, PR 00733-6810
(787) 844-2080
(787) 844-7506
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
5
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10826
TRIPLE S
PR
01
—
18020
TRIPLE S
PR
01
—
18826
TRIPLE S
PR
01
—
19020
TRIPLE S
PR
01
—
19826
TRIPLE S
PR
01
—
300115
UTI
PR
01
—
304264
ACAA TERAPIA FISICA
PR
01
—
31225
TRIPLE S
PR
01
—
31247
TRIPLE S
PR
01
—
4855
IMC
PR
01
—
5001587
ACAA HOSP/ER
PR
01
—
5501466
ACAA ASC
PR
01
—
66011960B
MCS
PR
01
—
660191960
MAPFRE & OTHERS
PR
01
—
700009
MMM
PR
01
—
7310370
HUMANA
PR
01
—
92399
TRIPLE S
PR
Enumeration date
06/17/2005
Last updated
08/31/2020
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