Healthcare Provider Details

I. General information

NPI: 1326800376
Provider Name (Legal Business Name): HOSPIPED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 AVE FONT MARCELO
HUMACAO PR
00791-3249
US

IV. Provider business mailing address

197 CALLE ZORZAL URB MONTEHIEDRA
SAN JUAN PR
00926-7110
US

V. Phone/Fax

Practice location:
  • Phone: 787-852-0768
  • Fax:
Mailing address:
  • Phone: 939-640-6008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIMARI G FLORES CRUZ
Title or Position: PRESIDENT
Credential: MD
Phone: 939-640-6008