Organization
MENNONITE GENERAL HOSPITAL INC
Active
Other names
FARMACIA HOSPITAL MENONITA
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN ROIG (ADMINISTRATOR)
(787) 735-8001
Entity
Organization
Contact information
Practice address
CALLE JOSE C VAZQUEZ KM 0 2, AIBONITO, PR 00705-1379
(787) 735-0384
(787) 735-0384
Mailing address
PO BOX 1379, AIBONITO, PR 00705-1379
(787) 735-0384
(787) 735-0384
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14F2691
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2086246
PK
—
Enumeration date
04/03/2007
Last updated
07/26/2013
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