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General NPI Number Information
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NPI Number | 1841295557
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Entity Type | Organization
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Legal Business Name | SAINT LUKES MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 917 AVE TITO CASTRO
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City | PONCE
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State | PR
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Zip | 00716-4717
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Country | US
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Telephone | 787-844-2080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 336810
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City | PONCE
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State | PR
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Zip | 00733-6810
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Country | US
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Telephone | 787-844-2080
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Fax | 787-844-7506
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Authorized Official
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Title or Position | ASSISTANT CHIEF FINANCIAL OFFICER
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Name | MR. IAN GUILLEN
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Credential | CPA
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Telephone | 787-844-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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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 | 5
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License Number State | PR
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