Healthcare Provider Details
I. General information
NPI: 1447012711
Provider Name (Legal Business Name): HOSPITAL PUNTA PACIFICA S.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2024
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BOULEVAR PUNTA PACIFICA CON BOULEVAR DARIEN
PANANA CITY PANAMA
99999
PA
IV. Provider business mailing address
PO BOX 11597
FT LAUDERDALE FL
33339-1597
US
V. Phone/Fax
- Phone: 507-204-8000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282NC0060X |
| Taxonomy | Critical Access Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JESTHANY
FLETCHER
Title or Position: MANAGER
Credential:
Phone: 954-526-9751