Organization 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
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro de Salud Conductual Menonita Cima41 organizations share this tax ID, including this one
Part of
Centro de Salud Conductual Menonita Cima

Other organizations with this tax ID 40

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

View all 40

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

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.

Verify at the official NPI Registry.