1780705996 NPI number — HOSPITAL PLAZA INTERNACIONAL

Table of content: (NPI 1780705996)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780705996 NPI number — HOSPITAL PLAZA INTERNACIONAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL PLAZA INTERNACIONAL
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:
INTERNATIONAL PLAZA HOSPITAL
Provider Other Organization Name Type Code:
5
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:
1780705996
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 83
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCALLEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78505-0083
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-687-9048
Provider Business Mailing Address Fax Number:
956-687-9049

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CONDOMINIO PLAZA GRANDE & AVE REYNOSA
Provider Second Line Business Practice Location Address:
#10 & #22
Provider Business Practice Location Address City Name:
REYNOSA
Provider Business Practice Location Address State Name:
TAMAULIPAS
Provider Business Practice Location Address Postal Code:
88500
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
528999222005
Provider Business Practice Location Address Fax Number:
528999228010
Provider Enumeration Date:
04/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LEAL
Authorized Official First Name:
JUAN
Authorized Official Middle Name:
A
Authorized Official Title or Position:
SUBDIRECTOR
Authorized Official Telephone Number:
528999222005

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  923111 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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