Healthcare Provider Details

I. General information

NPI: 1447491220
Provider Name (Legal Business Name): HOSPITAL GENERAL DE CASTANER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2009
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 123 KM 35.7 BO GARZAS
ADJUNTAS PR
00601
US

IV. Provider business mailing address

PO BOX 1003
CASTANER PR
00631-1003
US

V. Phone/Fax

Practice location:
  • Phone: 787-829-5656
  • Fax: 787-829-5757
Mailing address:
  • Phone: 787-829-5656
  • Fax: 787-829-5757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number17-F-2977
License Number StatePR

VII. Legacy identifiers

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

# 1
Identifier038347000
Identifier TypeMEDICAID
Identifier StatePR
Identifier Issuer
# 2
Identifier2119440
Identifier TypeOTHER
Identifier State
Identifier IssuerPK

VIII. Authorized Official

Name: GIOVANNI ORTIZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MHSA
Phone: 737-829-5010