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Bella Vista Hospital Inc

Organization Active NPI Neurology with Special Qualifications in Child Neurology Physician · Mayaguez, PR

NPI 1982285482 · NPPES record last updated May 7, 2021

Key facts

NPI
1982285482
Entity type
Organization (NPI type 2)
Primary specialty
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
Legal business name
BELLA VISTA HOSPITAL INC
Practice address
770 Ave Hostos
Mayaguez, PR 00682-1551
Phone
(787) 834-6161
NPI assigned
Apr 16, 2021
Organization subpart
Yes
Parent organization (as reported)
BELLA VISTA HOSPITAL INC

Authorized official

Name
Mr. Jose G Gratacos
Title
Cfo
Phone
(787) 834-2350

Corporate family (same tax ID) 10

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

National Provider Directory

Tax ID family
Bella Vista Hospital Inc (11 organizations share this tax ID)
Part of
Bella Vista Hospital Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 2084N0402X Yes

Addresses

Primary practice location

770 Ave Hostos
Mayaguez, PR 00682-1551

Mailing address

PO Box 1750
Mayaguez, PR 00681-1750
Phone (787) 834-6000

Other names

  • Bella Vista Pediatric Neurology Group Doing business as

Other providers in Mayaguez, PR

All providers in Mayaguez, PR · Neurology with Special Qualifications in Child Neurology Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.