Healthcare Provider Details

I. General information

NPI: 1346357225
Provider Name (Legal Business Name): FIRST HOSPITAL PANAMERICANO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 03/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STATE ROAD 787 KM 1 5 BAYAMOND WARD
CIDRA PR
00739-1400
US

IV. Provider business mailing address

STATE ROAD 787 KM 1 5 BAYAMOND WARD
CIDRA PR
00739-1400
US

V. Phone/Fax

Practice location:
  • Phone: 787-739-5555
  • Fax: 787-739-5544
Mailing address:
  • Phone: 787-739-5555
  • Fax: 787-739-5544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number97 CNC NUM 91173
License Number StatePR

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: SRVP CFO
Credential:
Phone: 610-768-3300