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NPI Code Detail

MEDICARE: AUXILIO MUTUO HOSPITAL

MEDICARE: AUXILIO MUTUO HOSPITAL
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
1282N00000XGeneral Acute Care Hospital11895PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111895OTHERPRMEDICAL LICENSE

General Provider Information

NPI Number : 1548412828
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUXILIO MUTUO HOSPITAL
Provider Business Mailing Address
First Line : AVE PONCE DE LEON # 37
Second Line :
City : SAN JUAN
State : PR
Zip : 00907-3380
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : AVE PONCE DE LEON # 37
Second Line :
City : SAN JUAN
State : PR
Zip : 00907-3380
Country : US
Telephone Number : 787-758-2000
Fax Number :
Authorized Official
Title or Position : MEDICAL EDUCATION DIRECTOR
Name : MARIA DIAZ
Credential :
Telephone Number : 787-758-2000
Provider Enumeration Date : 10/17/2008
Last Update Date : 09/13/2009

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Directions to “AUXILIO MUTUO HOSPITAL ” Practice Location

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