1134870306 NPI number — HOSPITAL AMERIMED ISLAMED S.A. DE C.V.

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 1134870306 NPI number — HOSPITAL AMERIMED ISLAMED S.A. DE C.V.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL AMERIMED ISLAMED S.A. DE C.V.
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:
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:
1134870306
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/10/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 39662
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT LAUDERDALE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33339-9662
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-526-9751
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE ADOLFO ROSADO SALAS NO 999 ENTRE 85 AV Y 85 AV .B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COZUMEL
Provider Business Practice Location Address State Name:
QUINTANA ROO
Provider Business Practice Location Address Postal Code:
77670
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
987-869-5555
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/10/2022

Additional Information

Authorized Official

Authorized Official Last Name:
GONZALEZ CRUZ
Authorized Official First Name:
SAMUEL
Authorized Official Middle Name:
Authorized Official Title or Position:
LEGAL REPRESENTATIVE
Authorized Official Telephone Number:
954-903-7445

Provider Taxonomy Codes

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

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





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