Organization
MENNONITE GENERAL HOSPITAL,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE VAZQUEZ (SUPERVISOR)
(787) 535-1007
Entity
Organization
Contact information
Practice address
CALLE JOSE C VAZQUEZ INTERIOR STANLEY MILLER, AIBONITO, PR 00705
(787) 535-1001
(787) 535-1021
Mailing address
PO BOX 373130, CAYEY, PR 00737-3130
(787) 535-1001
(787) 535-1021
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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