1518963446 NPI number — HOSPITAL LAFAYETTE

Table of content: (NPI 1518963446)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518963446 NPI number — HOSPITAL LAFAYETTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL LAFAYETTE
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:
ASOCIACION AZUCARERA COOPERATIVA
Provider Other Organization Name Type Code:
4
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:
1518963446
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/26/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARROYO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00714-0207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-839-3232
Provider Business Mailing Address Fax Number:
787-839-2525

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARRE #753 KM 0.1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARROYO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00714-0207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-839-3232
Provider Business Practice Location Address Fax Number:
787-839-2525
Provider Enumeration Date:
06/24/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ORTIZ
Authorized Official First Name:
RUTH
Authorized Official Middle Name:
M
Authorized Official Title or Position:
ADMINISTRADOR
Authorized Official Telephone Number:
787-839-3232

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  34 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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