Healthcare Provider Details

I. General information

NPI: 1891506150
Provider Name (Legal Business Name): HOSPITEN MEXICO S.A. DE C.V.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AV. BONAMPAK 10, ZONA HOTELERA
CANCUN QUINTANA ROO
77500
MX

IV. Provider business mailing address

PO BOX 39662
FORT LAUDERDALE FL
33339-9662
US

V. Phone/Fax

Practice location:
  • Phone: 998-881-3700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: MARIO DE LA TORRE
Title or Position: MANAGER
Credential:
Phone: 984-803-1002