Healthcare Provider Details

I. General information

NPI: 1245986124
Provider Name (Legal Business Name): MAC HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 06/21/2024
Certification Date: 11/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MAC HOSPITAL CAM. A ALCOCER 12, SALTITO DE GUADALUPE
SAN MIGUEL DE ALLENDE MEXICO
37745
MX

IV. Provider business mailing address

1037 NE 65TH ST # 81324
SEATTLE WA
98115-6655
US

V. Phone/Fax

Practice location:
  • Phone: 888-449-7799
  • 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. ISAAC SIMAN
Title or Position: MANAGER
Credential: MD
Phone: 440-548-0905