NPIMap

Organization Active NPI

Mennonite General Hospital,Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Aibonito, PR
National Provider Identifier
1255419503
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
APM-047 Issued in PR
Legal business name
MENNONITE GENERAL HOSPITAL,INC.
Practice address
2 Jose C Vazquez St.
Bocaonillas
Aibonito, PR 00705-1379
Phone
(787) 735-9206
Fax
(787) 735-7150
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marta Rosa Mercado, M.H.S.A
Title
Administrator
Phone
(787) 735-9206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X APM-047 PR Primary

Addresses

Primary practice location

2 Jose C Vazquez St.
Bocaonillas
Aibonito, PR 00705-1379

Mailing address

PO Box 1379
Aibonito, PR 00705-1379
Phone (787) 735-9206

Other names 1

  • Hospimedica Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255419503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1379",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051379",
            "telephone_number": "787-735-9206",
            "fax_number": "787-735-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOSE C VAZQUEZ ST.",
            "address_2": "BOCAONILLAS",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051379",
            "telephone_number": "787-735-9206",
            "fax_number": "787-735-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE GENERAL HOSPITAL,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-735-9206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.H.S.A"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PR",
            "license": "APM-047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospimedica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aibonito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.