Healthcare Provider Details

I. General information

NPI: 1497219885
Provider Name (Legal Business Name): HOSPITAL DAMAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2019
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 PONCE BY PASS
PONCE PR
00717
US

IV. Provider business mailing address

2213 PONCE BY PASS
PONCE PR
00717
US

V. Phone/Fax

Practice location:
  • Phone: 787-840-8686
  • Fax: 787-840-8625
Mailing address:
  • Phone: 787-840-8686
  • Fax: 787-840-8625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA MERCEDES TORRES-BERNAL
Title or Position: ADMINISTRADORA
Credential: MHSA
Phone: 787-840-8686