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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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