Healthcare Provider Details
I. General information
NPI: 1205035854
Provider Name (Legal Business Name): HOSPITAL GENERAL DE CASTANER INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
ROAD 135 KM. 64.2
CASTANER PR
00631-1003
US
IV. Provider business mailing address
PO BOX 1003
CASTANER PR
00631-1003
US
V. Phone/Fax
- Phone: 787-829-5010
- Fax: 787-829-4668
- Phone: 787-829-5010
- Fax: 787-829-4668
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | PR |
VIII. Authorized Official
Name: MR.
DOMINGO
MONROIG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 787-829-5010