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Organization

BELLA VISTA HOSPITAL INC

Active
Parent organization
BELLA VISTA HOSPITAL INC
Other names
Bella Vista Pediatric Neurology Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
BELLA VISTA HOSPITAL INC
Authorized official
MR. JOSE G GRATACOS (CFO)
(787) 834-2350
Entity
Organization

Contact information

Practice address
770 AVE HOSTOS, MAYAGUEZ, PR 00682-1551
(787) 834-6161
Mailing address
PO BOX 1750, MAYAGUEZ, PR 00681-1750
(787) 834-6000

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary

Other

Enumeration date
04/16/2021
Last updated
05/07/2021
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