Healthcare Provider Details

I. General information

NPI: 1023311479
Provider Name (Legal Business Name): HOSPITAL GENERAL DE CASTANER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2010
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 123 44 CALLE GARZAS KM 35.7
ADJUNTAS PR
00601
US

IV. Provider business mailing address

CARR. 135, KM. 64.2 BOX 1003
CASTANER PR
00631
US

V. Phone/Fax

Practice location:
  • Phone: 787-829-2910
  • Fax: 787-829-5839
Mailing address:
  • Phone: 787-829-5010
  • Fax: 787-829-2913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number46CNC97315
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1760486344
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerNPI

VIII. Authorized Official

Name: MR. DOMINGO MONROIG
Title or Position: EXECUTIVE DIRECTOR
Credential: MHSA
Phone: 787-829-5010