Provider Demographics
NPI:1538211321
Name:REITTER CORPORATION HOSPITAL SAN GERARDO
Entity type:Organization
Organization Name:REITTER CORPORATION HOSPITAL SAN GERARDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GERENTE
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:IVAN
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-761-8383
Mailing Address - Street 1:138 AVE WINSTON CHURCHILL
Mailing Address - Street 2:MSC 250
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:787-292-8260
Practice Address - Street 1:138 AVE WINSTON CHURCHILL
Practice Address - Street 2:MSC 250
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6013
Practice Address - Country:US
Practice Address - Phone:787-761-8383
Practice Address - Fax:787-292-8260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit