Bella Vista Hospital Inc

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

BELLA VISTA HOSPITAL INC

Doing business as

Bella Vista Physical & Sports Rehab Team

Practice address

349 St. KM 3.4
Mayaguez, PR 00680-0000

Phone

(787) 834-6000

Fax

(787) 805-3705

NPI assigned

Sep 15, 2014

Last updated

Sep 15, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

BELLA VISTA HOSPITAL INCAs reported in NPPES

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

Authorized official

Name

Mr. Jose Guillermo Gratacos, CFO

Title

Chief Financial Officer

Phone

(787) 834-2350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bella Vista Physical & Sports Rehab Team Doing business as

Part of

Grupo Medicina General

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1881095339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811750",
            "telephone_number": "787-834-6000",
            "fax_number": "787-805-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 ST. KM 3.4",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006800000",
            "telephone_number": "787-834-6000",
            "fax_number": "787-805-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLA VISTA HOSPITAL INC",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "GRATACOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "GUILLERMO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "787-834-2350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "400014",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vista Physical & Sports Rehab Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabel Maria Becerra Roman, MD
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• Bella Vista Hospital Inc
• Bella Vista Hospital Inc (Bella Vista Medical Supply)
• Bella Vista Hospital Inc (Bella Vista Pediatric Neurology Group)
• Bella Vista Hospital, Inc (Pediatras del Oeste)
• Bella Vista Hospital, Inc (Bella Vista Rehabilitation Center)
• Bella Vista Hospital, Inc (Bella Vista ENT Group)
• Bella Vista Hospital, Inc (Bella Vista Anesthesiology Group)

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.