Healthcare Provider Details

I. General information

NPI: 1336341379
Provider Name (Legal Business Name): HOSPITAL GENERAL CASTANER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

R 135 KM 64.2
CASTANER PR
00631
US

IV. Provider business mailing address

PO BOX 1003
CASTANER PR
00631-1003
US

V. Phone/Fax

Practice location:
  • Phone: 787-829-5010
  • Fax:
Mailing address:
  • Phone: 787-829-5010
  • Fax: 787-829-5961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number09-F-0877
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number11-F-0877
License Number StatePR

VIII. Authorized Official

Name: GIOVANNI ORTIZ
Title or Position: EXECUTIVE DIRECTOR
Credential: MHSA
Phone: 787-829-5010