Healthcare Provider Details

I. General information

NPI: 1871414094
Provider Name (Legal Business Name): HOSPITAL MENONITA CAGUAS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. PR 1 KM 39.9 BO. TURABO
CAGUAS PR
00725
US

IV. Provider business mailing address

PO BOX 9538
CAGUAS PR
00726-9538
US

V. Phone/Fax

Practice location:
  • Phone: 787-653-0550
  • Fax:
Mailing address:
  • Phone: 787-653-0550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LISSETTE VASQUEZ RIVERA
Title or Position: DIRECOR
Credential:
Phone: 787-434-1700