Organization
HOSPITAL MENONITA HUMACAO INC
Active
Other names
RED AMBULATORIA MENONITA (CENTRO DE DIAGNOSTICO Y TRATAMIENTO)
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE VASQUEZ RIVERA (DIRECTOR)
(787) 434-1700
Entity
Organization
Contact information
Practice address
AVE. BOULEVARD SUR, TORRE III, BOULEVARD DEL RIO OFFICE CENTER BO RIO ABAJO, HUMACAO, PR 00792-8888
(787) 434-1700
(787) 434-1711
Mailing address
PO BOX 1650, CIDRA, PR 00739-1650
(787) 434-1700
(787) 434-1711
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88
LICENCIA OPERACIONAL
PR
Enumeration date
06/07/2022
Last updated
11/11/2022
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