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NPI Code Detail

MEDICARE: SAINT LUKES MEMORIAL HOSPITAL INC

MEDICARE: SAINT LUKES MEMORIAL 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
1273R00000XPsychiatric Hospital Unit
2282N00000XGeneral Acute Care Hospital5PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110826OTHERPRTRIPLE S
2660191960OTHERPRMAPFRE & OTHERS
319020OTHERPRTRIPLE S
419826OTHERPRTRIPLE S
57310370OTHERPRHUMANA
631225OTHERPRTRIPLE S
731247OTHERPRTRIPLE S
85501466OTHERPRACAA ASC
992399OTHERPRTRIPLE S
1018826OTHERPRTRIPLE S
11300115OTHERPRUTI
12304264OTHERPRACAA TERAPIA FISICA
1318020OTHERPRTRIPLE S
144855OTHERPRIMC
1566011960BOTHERPRMCS
16700009OTHERPRMMM
1731225OTHERPRTRIPLE C
185001587OTHERPRACAA HOSP/ER
19MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841295557
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT LUKES MEMORIAL HOSPITAL INC
Provider Business Mailing Address
First Line : PO BOX 336810
Second Line :
City : PONCE
State : PR
Zip : 00733-6810
Country : US
Telephone Number : 787-844-2080
Fax Number : 787-844-7506
Provider Business Practice Location Address
First Line : 917 AVE TITO CASTRO
Second Line :
City : PONCE
State : PR
Zip : 00716-4717
Country : US
Telephone Number : 787-844-2080
Fax Number :
Authorized Official
Title or Position : ASSISTANT CHIEF FINANCIAL OFFICER
Name : MR. IAN GUILLEN
Credential : CPA
Telephone Number : 787-844-2080
Provider Enumeration Date : 06/17/2005
Last Update Date : 08/31/2020

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Directions to “SAINT LUKES MEMORIAL HOSPITAL INC ” Practice Location

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