Healthcare Provider Details

I. General information

NPI: 1780705996
Provider Name (Legal Business Name): HOSPITAL PLAZA INTERNACIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CONDOMINIO PLAZA GRANDE & AVE REYNOSA #10 & #22
REYNOSA TAMAULIPAS
88500
MX

IV. Provider business mailing address

PO BOX 83
MCALLEN TX
78505-0083
US

V. Phone/Fax

Practice location:
  • Phone: 528999222005
  • Fax: 528999228010
Mailing address:
  • Phone: 956-687-9048
  • Fax: 956-687-9049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number923111
License Number State

VIII. Authorized Official

Name: JUAN A LEAL
Title or Position: SUBDIRECTOR
Credential: MD
Phone: 528999222005