Healthcare Provider Details

I. General information

NPI: 1922597624
Provider Name (Legal Business Name): HOSPITAL CEMESA ROATAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2018
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34101 FRENCH HARBOR MONTE PLACENTERO
ISLAS DE LA BAHIA ROATAN
00004
HN

IV. Provider business mailing address

PO BOX 578
FORT BRAGG CA
95437-0578
US

V. Phone/Fax

Practice location:
  • Phone: 707-472-6762
  • Fax:
Mailing address:
  • Phone: 707-472-6762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ALBERTO CARSON
Title or Position: SECRETARY
Credential:
Phone: 619-988-6512