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General NPI Number Information
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NPI Number | 1083636179
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Entity Type | Organization
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Legal Business Name | BELLA VISTA HOSPITAL INC
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | CARR 349 KM 2.7 CERRO LAS MESAS
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City | MAYAGUEZ
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State | PR
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Zip | 00680-8321
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Country | US
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Telephone | 787-834-6000
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Fax | 787-805-3705
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Provider Business Mailing Address
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Address Line | PO BOX 1750
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City | MAYAGUEZ
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State | PR
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Zip | 00681-1750
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Country | US
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Telephone | 787-834-6000
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Fax | 787-805-3705
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. LUIS RIVERA
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Credential |
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Telephone | 787-834-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | APM 126
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 50
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License Number State | PR
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