MEDICARE: BELLA VISTA HOSPITAL, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273Y00000X	Rehabilitation Hospital Unit

General Provider Information

NPI Number	:	1144538661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLA VISTA HOSPITAL, INC

Provider Business Mailing Address
First Line	:	PO BOX 1750
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00681-1750
Country	:	US
Telephone Number	:	787-834-6000
Fax Number	:	787-805-3705

Provider Business Practice Location Address
First Line	:	CARR 349 KM 2.7 CERRO LAS MESAS
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680-8321
Country	:	US
Telephone Number	:	787-834-6000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT GOVERNING BOARD
Name	:	MR. LUIS RIVERA
Credential	:
Telephone Number	:	787-834-6000

Provider Enumeration Date	:	09/17/2010
Last Update Date	:	04/22/2025

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00680-8321

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