Bella Vista Hospital, Inc
Organization Active NPI Family Medicine Physician · Mayaguez, PR
NPI 1881998334 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1881998334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BELLA VISTA HOSPITAL, INC
- Practice address
- 349 St. KM 3.4
Mayaguez, PR 00680 - Phone
- (787) 834-6000
- Fax
- (787) 805-3705
- NPI assigned
- Dec 27, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- BELLA VISTA HOSPITAL, INC
Authorized official
- Name
- Mr. Luis Rivera, MBA
- Title
- Director
- Phone
- (787) 834-6000
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 10
Practitioners 24
-
Liz Marie Gomez Vega, M.D.
-
Dolly E. Lugo, MD
-
Nicelia Raquel Pena, PSYD
-
Berenis Perez, MD
-
Angel Galera-Santiago, M.D.
-
Rony E. Rivera Cruz, M.D.
-
Ruben Antonio Velazquez-Rousset, M.D., PH.D.
-
Laura Rodriguez, M.D.
-
Victor Fernando Nazario, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110118000267 | PR | Part B Supplier - Clinic/Group Practice | 6507831351 |
Receives reassigned benefits from 13 practitioners Practice locations: Mayaguez, PR |
National Provider Directory
- Tax ID family
- Bella Vista Hospital Inc
- Part of
- Bella Vista Hospital Inc
Locations
770 Ave Hostos
#M
Mayaguez, PR 00682
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Surgery Physician |
208600000X |
Addresses
Primary practice location
349 St. KM 3.4
Mayaguez, PR 00680
Mailing address
PO Box 1750
Mayaguez, PR 00681-1750
Phone (787) 834-6000
Other names
- Bella Vista Family Medicine
Other providers in Mayaguez, PR
- Bella Vista Hospital, Inc
- Bella Vista Hospital, Inc
- Bella Vista Hospital, Inc
- Bella Vista Hospital, Inc
- Bella Vista Hospital, Inc
- Bella Vista Hospital, Inc
- Bella Vista Hospital, Inc.
- Bella Vista Hospital, Inc.
- Bella Vista Policlinic Inc
- Bella Vista Policlinic, Inc
All providers in Mayaguez, PR · Family Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.