1952068157 NPI number — HOSPITAL MARINA MAZATLAN

Table of content: (NPI 1952068157)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952068157 NPI number — HOSPITAL MARINA MAZATLAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL MARINA MAZATLAN
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:
1952068157
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
AV CARLOS CANSECO 6048 LA MARINA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAZATLAN
Provider Business Mailing Address State Name:
SINALOA
Provider Business Mailing Address Postal Code:
82103
Provider Business Mailing Address Country Code:
MX
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AV CARLOS CANSECO 06048/00000
Provider Second Line Business Practice Location Address:
MARINA MAZATLAN
Provider Business Practice Location Address City Name:
MAZATLAN
Provider Business Practice Location Address State Name:
SINALOA
Provider Business Practice Location Address Postal Code:
82103
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
669-913-1000
Provider Business Practice Location Address Fax Number:
862-345-2766
Provider Enumeration Date:
11/22/2021

Additional Information

Authorized Official

Authorized Official Last Name:
ZAZUETA
Authorized Official First Name:
EDUARDO
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
669-114-3741

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207PE0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3728110 . This is a "3728110" identifier . This identifiers is of the category "OTHER".
  • Identifier: 37282110 . This is a "OTHER" identifier . This identifiers is of the category "OTHER".




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