Healthcare Provider Details

I. General information

NPI: 1891602876
Provider Name (Legal Business Name): BELLA VISTA HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 AVE HOSTOS
MAYAGUEZ PR
00682-1552
US

IV. Provider business mailing address

PO BOX 1750
MAYAGUEZ PR
00681-1750
US

V. Phone/Fax

Practice location:
  • Phone: 787-834-6161
  • Fax:
Mailing address:
  • Phone: 787-834-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DARLYN E MONTALVO
Title or Position: DIRECTOR OF DEVELOPMENT & CONTRACTI
Credential:
Phone: 787-834-6000