Healthcare Provider Details

I. General information

NPI: 1972320794
Provider Name (Legal Business Name): H5 CONNECT, S. DE R.L. DE C.V.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AV. LOS TULES #136 COLONIA GUSTAVO DIAZ ORDAZ
PUERTO VALLARTA JALISCO
48310
MX

IV. Provider business mailing address

PO BOX 11198
FORT LAUDERDALE FL
33339-1198
US

V. Phone/Fax

Practice location:
  • Phone: 322-178-3000
  • Fax:
Mailing address:
  • Phone:
  • 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: DR. ALBERTO MARRON
Title or Position: OWNER
Credential:
Phone: 322-178-3000