Hospital Marina Mazatlan

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

HOSPITAL MARINA MAZATLAN

Doing business as

Hospital Marina Mazatlan

Practice address

Av Carlos Canseco 06048/00000
Marina Mazatlan
Mazatlan, SINALOA 82103
MX

Phone

(669) 913-1000

Fax

(862) 345-2766

NPI assigned

Nov 22, 2021

Last updated

Feb 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eduardo Zazueta, MD

Title

Owner

Phone

(669) 114-3741

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HOSPITAL MARINA MAZATLAN Doing business as

Electronic endpoints 2

Tax ID family

Diomed Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Hospitales H, S a. de C.V

  • Emergency Medical Services (Emergency Medicine) Physician
  • NPI 1346923018
  NPD tax ID
• MTM Medical Billing

  • Emergency Medical Services (Emergency Medicine) Physician
  • Barnegat, NJ
  • NPI 1063151256
  NPD tax ID

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1952068157",
    "addresses": [
        {
            "country_code": "MX",
            "country_name": "Mexico",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "AV CARLOS CANSECO 6048 LA MARINA",
            "city": "MAZATLAN",
            "state": "SINALOA",
            "postal_code": "82103"
        },
        {
            "country_code": "MX",
            "country_name": "Mexico",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "AV CARLOS CANSECO 06048/00000",
            "address_2": "MARINA MAZATLAN",
            "city": "MAZATLAN",
            "state": "SINALOA",
            "postal_code": "82103",
            "telephone_number": "669-913-1000",
            "fax_number": "862-345-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL MARINA MAZATLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "ZAZUETA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "669-114-3741",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "37282110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3728110",
            "identifier": "3728110",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.URL.COM",
            "affiliation": "N",
            "endpointDescription": "HOSPITAL MAZATLAN",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "AV CARLOS CANSECO 06048/00000",
            "address_2": "MARINA MAZATLAN",
            "city": "MAZATLAN",
            "state": "Sinaloa",
            "country_code": "MX",
            "postal_code": "82103",
            "country_name": "Mexico",
            "address_type": "FGN"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.URL.COM",
            "affiliation": "N",
            "endpointDescription": "HOSPITAL MARINA MAZATLAN",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "AV CARLOS CANSECO 6048 LA MARINA",
            "city": "MAZATLAN",
            "state": "SINALOA",
            "country_code": "MX",
            "postal_code": "82103",
            "country_name": "Mexico",
            "address_type": "FGN"
        }
    ],
    "other_names": [
        {
            "organization_name": "HOSPITAL MARINA MAZATLAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOSPITAL MARINA MAZATLAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.