1255461893 NPI number — HOSPITAL MENONITA DE CAYEY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255461893 NPI number — HOSPITAL MENONITA DE CAYEY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL MENONITA DE CAYEY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255461893
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1650
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CIDRA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00739-1650
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-434-1700
Provider Business Mailing Address Fax Number:
787-434-1715

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
RINCO INTERIOR 14ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAYEY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00737
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-535-1001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
VASQUEZ RIVERA
Authorized Official First Name:
LISSETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
787-434-1700

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 37 . This is a "DEPARTMENT OF HEALTH LICENCE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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