1538605522 NPI number — HOSPITAL METROPOLITANO DE SANTIAGO (HOMS)

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 1538605522 NPI number — HOSPITAL METROPOLITANO DE SANTIAGO (HOMS)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL METROPOLITANO DE SANTIAGO (HOMS)
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:
1538605522
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/13/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 025488
Provider Second Line Business Mailing Address:
EPS#B-808
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33102-5488
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-931-1717
Provider Business Mailing Address Fax Number:
407-429-3796

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AUTOPISTA DUARTE, KM 2.8
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTIAGO
Provider Business Practice Location Address State Name:
DE LOS CABALLEROS
Provider Business Practice Location Address Postal Code:
51000
Provider Business Practice Location Address Country Code:
DO
Provider Business Practice Location Address Telephone Number:
407-931-1717
Provider Business Practice Location Address Fax Number:
407-931-1717
Provider Enumeration Date:
01/13/2017

Additional Information

Authorized Official

Authorized Official Last Name:
MENA
Authorized Official First Name:
ALBERTO
Authorized Official Middle Name:
Authorized Official Title or Position:
GERENTE
Authorized Official Telephone Number:
407-931-1717

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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