Organization Active NPI

Hospital Menonita de Humacao Inc

  • Emergency Care Clinic/Center
  • Yabucoa, PR
National Provider Identifier
1265096044
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
HOSPITAL MENONITA DE HUMACAO INC
Practice address
Carr 901 KM 5 Salida Hacia Camino Nuevo
Yabucoa, PR 00767
Phone
(787) 434-1700
Fax
(787) 434-1715
NPI assigned
Apr 26, 2019
Organization subpart
Yes
Parent organization
HOSPITAL MENONITA HUMACAO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Lissette Vasquez Rivera
Title
Director of Billing and Collection
Phone
(787) 852-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

Carr 901 KM 5 Salida Hacia Camino Nuevo
Yabucoa, PR 00767

Mailing address

PO Box 1650
Cidra, PR 00739-1650
Phone (787) 434-1700

Other identifiers 1

IdentifierTypeStateIssuer
19-125OtherPRCNC

Other names 1

  • Centro de Salud Familiar Yabucoa Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lvazquez@mghpr.org Other

National Provider Directory

National Provider Directory
Tax ID family
Hospital Menonita Humacao Inc4 organizations share this tax ID, including this one
Part of
Hospital Menonita Humacao Inc

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1265096044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391650",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 901 KM 5 SALIDA HACIA CAMINO NUEVO",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL MENONITA DE HUMACAO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL MENONITA HUMACAO INC",
        "enumeration_date": "2019-04-26",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING AND COLLECTION",
        "authorized_official_telephone_number": "787-852-0505"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNC",
            "identifier": "19-125",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lvazquez@mghpr.org",
            "affiliation": "N",
            "endpointDescription": "lvazquez@mghpr.org",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "rguillen@mghpr.org",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rguillen@mghpr.org",
            "address_1": "Carr. 901, Km. 5 Salida hacia Camino Nuevo",
            "city": "Yabucoa",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Centro de Salud Familiar Yabucoa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centro de Salud Familiar Yabucoa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yabucoa, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.