Healthcare Provider Details

I. General information

NPI: 1699439422
Provider Name (Legal Business Name): HOSPITAL CEMEQ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 10/27/2021
Certification Date: 10/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL CEMEQ AV. EJERCITO MEXICANO 2207
MAZATLAN SIN
82010
MX

IV. Provider business mailing address

HOSPITAL CEMEQ 304 S. JONES BLVD #5822
LAS VEGAS NV
89107
US

V. Phone/Fax

Practice location:
  • Phone: 669-985-0997
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LUIZ ROBERTO TOGO UZUNA
Title or Position: MANAGER
Credential: DOCTOR
Phone: 669-985-0997