Healthcare Provider Details

I. General information

NPI: 1790811792
Provider Name (Legal Business Name): HOSPITAL SAN ANTONIO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 CALLE POST N
MAYAGUEZ PR
00680-6626
US

IV. Provider business mailing address

18 NORTE POST STREET
MAYAGUEZ PR
00680
US

V. Phone/Fax

Practice location:
  • Phone: 787-834-1085
  • Fax: 787-834-2104
Mailing address:
  • Phone: 787-834-1085
  • Fax: 787-834-2104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number29
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANCISCO MARTINEZ
Title or Position: EXECUTIVE ADMINISTRATOR
Credential: MHSAI
Phone: 787-834-1085