Healthcare Provider Details

I. General information

NPI: 1477257608
Provider Name (Legal Business Name): ST JOSEPHS S DE RL DE CV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

IGNACIO ZARAGOZA S/N COLONIA CENTRO
SAN JOSE DEL CABO BAJA CALIFORNIA SUR
23400
MX

IV. Provider business mailing address

PO BOX 39662
FORT LAUDERDALE FL
33339-9662
US

V. Phone/Fax

Practice location:
  • Phone: 624-142-5911
  • Fax:
Mailing address:
  • Phone: 954-526-9751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: ANTONIO G ALCARAZ
Title or Position: CFO
Credential:
Phone: 954-526-9751