Provider Demographics
NPI:1548699291
Name:HOSPITAL GENERAL DE CASTANER INC
Entity type:Organization
Organization Name:HOSPITAL GENERAL DE CASTANER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DOMINGO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONROIG
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-829-5010
Mailing Address - Street 1:PO BOX 1003
Mailing Address - Street 2:
Mailing Address - City:CASTANER
Mailing Address - State:PR
Mailing Address - Zip Code:00631-1003
Mailing Address - Country:US
Mailing Address - Phone:787-829-5010
Mailing Address - Fax:787-829-2913
Practice Address - Street 1:ROAD 135 KM 64.2 CASTANER
Practice Address - Street 2:
Practice Address - City:CASTANER
Practice Address - State:PR
Practice Address - Zip Code:00631-1003
Practice Address - Country:US
Practice Address - Phone:787-829-5010
Practice Address - Fax:787-829-4668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR400010Medicare PIN