Mennonite General Hospital

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

239015 Issued in PR

Legal business name

MENNONITE GENERAL HOSPITAL

Doing business as

Oficina Radiologica Menonita Barranquitas

Practice address

10 Calle Barcelo
Barranquitas, PR 00794-1780

Phone

(787) 434-1700

Fax

(787) 434-1714

NPI assigned

Aug 28, 2017

Organization subpart

Yes

Parent organization

MENNONITE GENERAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Lissette Vasquez Rivera

Title

Billing Managere

Phone

(787) 434-1700

Specialties & licenses 1

Addresses

Other names 1

• OFICINA RADIOLOGICA MENONITA BARRANQUITAS Doing business as

Part of

Mennonite General Hospital

Locations

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407373798",
    "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": "787-434-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE BARCELO",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941780",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENNONITE GENERAL HOSPITAL",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "BILLING MANAGERE",
        "authorized_official_telephone_number": "787-434-1700"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": "239015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OFICINA RADIOLOGICA MENONITA BARRANQUITAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariluz Martinez
• Karliexy Matos Torres, PHARMD
• Medicos Hospitalistas del Centro
• Lisaida Medina Mendez, MT,ASCP
• Tania Melendez, AUX
• Mennonite General Hospital Inc (Hospital Menonita de Aibonito)
• Marilis Mercado Matos, LND
• Luz Ivette Mercado
• Noemi Mercado
• Jessica Del C. Morales

• Mammography Clinic/Center in Barranquitas, PR
• Providers in Barranquitas, PR by specialty
• Mammography Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.