Healthcare Provider Details

I. General information

NPI: 1548699291
Provider Name (Legal Business Name): HOSPITAL GENERAL DE CASTANER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 11/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROAD 135 KM 64.2 CASTANER
CASTANER PR
00631-1003
US

IV. Provider business mailing address

PO BOX 1003
CASTANER PR
00631-1003
US

V. Phone/Fax

Practice location:
  • Phone: 787-829-5010
  • Fax: 787-829-4668
Mailing address:
  • Phone: 787-829-5010
  • Fax: 787-829-2913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

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