Healthcare Provider Details

I. General information

NPI: 1295920064
Provider Name (Legal Business Name): HOSPITAL LAFAYETTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 09/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 3 KM 0.1
ARROYO PR
00714-0207
US

IV. Provider business mailing address

PO BOX 207
ARROYO PR
00714-0207
US

V. Phone/Fax

Practice location:
  • Phone: 787-839-3232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO VAZQUEZ SOTO
Title or Position: GERENTE GENERAL
Credential:
Phone: 787-839-3232