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General NPI Number Information
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NPI Number | 1992463400
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Entity Type | Organization
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Legal Business Name | VALLARTA MEDICAL CENTER
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | VALLARTA MEDICAL CENTER AV LOS TULES 136
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City | PUERTO VALLARTA
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State | JALISCO
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Zip | 48310
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Country | MX
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Telephone | 322-178-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 945 MCKINNEY ST # 17028
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City | HOUSTON
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State | TX
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Zip | 77002-6308
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. IAN FISCHMAN
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Credential | DR
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Telephone | 650-417-1127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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