North Side Hospital, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

169 Issued in PR

Legal business name

NORTH SIDE HOSPITAL, INC.

Doing business as

HOSPITAL EL BUEN PASTOR

Practice address

52 Ave Jose de Diego
Arecibo, PR 00612-4503

Phone

(787) 878-2730

Fax

(787) 879-8042

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Hector I Mercado

Title

President

Phone

(787) 878-2730

Specialties & licenses 3

Addresses

Other names 1

• HOSPITAL EL BUEN PASTOR Doing business as

Tax ID family

Farmacia Hospital El Buen Pastor3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• North Side Hospital, Inc,

  • Radiology Clinic/Center
  • Arecibo, PR
  • NPI 1851506695
  NPD tax ID
• North Side Hospital, Inc.

  • Community/Retail Pharmacy
  • Arecibo, PR
  • NPI 1134261084
  NPD tax ID

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306051149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130456",
            "telephone_number": "787-878-2730",
            "fax_number": "787-879-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 AVE JOSE DE DIEGO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124503",
            "telephone_number": "787-878-2730",
            "fax_number": "787-879-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SIDE HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-878-2730",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "169",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "169A",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPITAL EL BUEN PASTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maritza Nistal
• Norte Med, Inc.
• North Medical Equipment Inc
• North Side Hospital, Inc,
• North Side Hospital, Inc.
• North Side Hospital, Inc.
• Northern Infusion LLC
• Northern Radiotherapy Cancer Center, P.S.C.
• Yessenia Novoa Rivera, MSW
• Ada G Noy, MT(ASCP)

• Clinical Medical Laboratory in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• 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.