Active NPI
Mennonite General Hospital, Inc
Doing business as Centro de Cuidado de Ulcera y Quemaduras Menonita
- Ambulatory Surgical Clinic/Center
- Humacao, PR
National Provider Identifier
1821546458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MENNONITE GENERAL HOSPITAL, INC
- Doing business as
- Centro de Cuidado de Ulcera y Quemaduras Menonita
- Practice address
- PR State Road 908 KM 0.4
Barrio Tejas
Humacao, PR 00791-0000 - Phone
- (787) 434-1700
- Fax
- (787) 434-1714
- NPI assigned
- Sep 12, 2016
- Organization subpart
- Yes
- Parent organization
- MENNONITE GENERAL HOSPITAL, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lissette Vazquez
- Title
- Billing Manager
- Phone
- (787) 434-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
PR State Road 908 KM 0.4
Barrio Tejas
Humacao, PR 00791-0000
Mailing address
PO Box 1650
Cidra, PR 00739-1650
Phone (787) 434-1700
Other names 1
- Centro de Cuidado de Ulcera y Quemaduras Menonita
National Provider Directory
National Provider Directory- Tax ID family
- Centro de Salud Conductual Menonita Cima
- Part of
- Centro de Salud Conductual Menonita Cima
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473638400000",
"number": "1821546458",
"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": "PR STATE ROAD 908 KM 0.4",
"address_2": "BARRIO TEJAS",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007910000",
"telephone_number": "787-434-1700",
"fax_number": "787-434-1714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENNONITE GENERAL HOSPITAL, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MENNONITE GENERAL HOSPITAL, INC",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A",
"authorized_official_last_name": "VAZQUEZ",
"authorized_official_first_name": "LISSETTE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "787-434-1700"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Centro de Cuidado de Ulcera y Quemaduras Menonita",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Humacao, PR
- Rosario N Mendez, MD
- Zenaida Sara Mendoza, PSYCHOLOGIST
- Beatriz Menendez, M.A.
- Mennonite General Hospital Inc (Centro de Salud Conductual Menonita CIMA-Humacao)
- Mennonite General Hospital Inc. (Centro de Salud Conductual Menonita CIMA Humacao)
- Esther Mercado Esquilin, MD
- Carlos Rafael Mercado Mendez, PHARMD
- Lynneth Mercado Rodriguez, M.D
- Awilda Mercado
- Swanilda Mercado, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.