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Bella Vista Hospital, Inc

Organization Active NPI Otolaryngology Physician · Mayaguez, PR

NPI 1164775151 · NPPES record last updated Oct 2, 2024

Key facts

NPI
1164775151
Entity type
Organization (NPI type 2)
Primary specialty
Otolaryngology Physician 207Y00000X
Legal business name
BELLA VISTA HOSPITAL, INC
Practice address
Street 349 KM 2.7
Mayaguez, PR 00681
Phone
(787) 652-6031
Fax
(787) 805-3705
NPI assigned
Oct 16, 2012
Organization subpart
Yes
Parent organization (as reported)
BELLA VISTA HOSPITAL, INC

Authorized official

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

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 15

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130213000149 PR Part B Supplier - Hospital Department(S) 6507831351 Receives reassigned benefits from 2 practitioners
Practice locations: Mayaguez, PR

National Provider Directory

Tax ID family
Bella Vista Hospital Inc (11 organizations share this tax ID)
Part of
Bella Vista Hospital Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Y00000X Yes

Addresses

Primary practice location

Street 349 KM 2.7
Mayaguez, PR 00681

Mailing address

PO Box 1750
Mayaguez, PR 00681-1750
Phone (787) 652-6031

Other names

  • Bella Vista ENT Group Doing business as

Other providers in Mayaguez, PR

All providers in Mayaguez, PR · Otolaryngology Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.