Organization
MENNONITE GENERAL HOSPITAL INC.
Active
Other names
Wound Care Menonita Ponce
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE VAZQUEZ RIVERA (DIRECTOR)
(787) 434-1700
Entity
Organization
Contact information
Practice address
CARR PR 506 KM 1.0, BO COTO LAUREL, PONCE, PR 00780-0000
(787) 434-1700
(787) 434-1715
Mailing address
PO BOX 1650, CIDRA, PR 00739-1650
(787) 434-1700
(787) 434-1711
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038390600
—
PR
Enumeration date
11/30/2022
Last updated
11/30/2022
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