NPIMap

Organization Active NPI

Bella Vista Hospital, Inc.

  • Radiation Oncology Clinic/Center
  • Mayaguez, PR
National Provider Identifier
1104064351
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
000-008 Issued in PR
Legal business name
BELLA VISTA HOSPITAL, INC.
Practice address
Carr 349 KM 2.7
Cerro Las Mesas
Mayaguez, PR 00681-8321
Phone
(787) 834-6000
Fax
(787) 805-3705
NPI assigned
Jan 27, 2009
Organization subpart
Yes
Parent organization
BELLA VISTA HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Luis Rivera
Title
Director
Phone
(787) 834-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X 000-008 PR Primary

Addresses

Primary practice location

Carr 349 KM 2.7
Cerro Las Mesas
Mayaguez, PR 00681-8321

Mailing address

PO Box 1750
Mayaguez, PR 00681-1750
Phone (787) 834-6000

Other names 1

  • Bella Vista Cancer Institute Other name

National Provider Directory

National Provider Directory
Part of
Bella Vista Hospital Inc

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1104064351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811750",
            "telephone_number": "787-834-6000",
            "fax_number": "787-805-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 349 KM 2.7",
            "address_2": "CERRO LAS MESAS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006818321",
            "telephone_number": "787-834-6000",
            "fax_number": "787-805-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLA VISTA HOSPITAL, INC",
        "enumeration_date": "2009-01-27",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-834-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "PR",
            "license": "000-008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vista Cancer Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.