1023311479 NPI number — HOSPITAL GENERAL DE CASTANER, INC.

Table of content: (NPI 1023311479)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023311479 NPI number — HOSPITAL GENERAL DE CASTANER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL GENERAL DE CASTANER, INC.
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:
1023311479
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CARR. 135, KM. 64.2
Provider Second Line Business Mailing Address:
BOX 1003
Provider Business Mailing Address City Name:
CASTANER
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00631
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-829-5010
Provider Business Mailing Address Fax Number:
787-829-2913

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 123 44 CALLE GARZAS KM 35.7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ADJUNTAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-829-2910
Provider Business Practice Location Address Fax Number:
787-829-5839
Provider Enumeration Date:
12/07/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MONROIG
Authorized Official First Name:
DOMINGO
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
787-829-5010

Provider Taxonomy Codes

  • Taxonomy code: 261QU0200X , with the licence number:  46CNC97315 , 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)

  • Identifier: 1760486344 . This is a "NPI" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".