Healthcare Provider Details

I. General information

NPI: 1538605522
Provider Name (Legal Business Name): HOSPITAL METROPOLITANO DE SANTIAGO (HOMS)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2017
Last Update Date: 01/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AUTOPISTA DUARTE, KM 2.8
SANTIAGO DE LOS CABALLEROS
51000
DO

IV. Provider business mailing address

PO BOX 025488 EPS#B-808
MIAMI FL
33102-5488
US

V. Phone/Fax

Practice location:
  • Phone: 407-931-1717
  • Fax: 407-931-1717
Mailing address:
  • Phone: 407-931-1717
  • Fax: 407-429-3796

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: DR. ALBERTO MENA
Title or Position: GERENTE
Credential: MD
Phone: 407-931-1717