Healthcare Provider Details

I. General information

NPI: 1114874278
Provider Name (Legal Business Name): HOSPITAL ESPANOL AUXILIO MUTUO DE PR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 AVE PONCE DE LEON
SAN JUAN PR
00917-5032
US

IV. Provider business mailing address

PO BOX 191227
SAN JUAN PR
00919-1227
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2000
  • Fax: 787-771-7402
Mailing address:
  • Phone: 787-758-2000
  • Fax: 787-758-2000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MILAGROS MATOS
Title or Position: BUSINESS OFFICE DIRECTOR
Credential:
Phone: 787-758-2000