Provider Demographics
NPI:1639864697
Name:GKVI CROSS HOSPITAL
Entity type:Organization
Organization Name:GKVI CROSS HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:DR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:AGUILLAR
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:888-449-7799
Mailing Address - Street 1:500 WESTOVER DR # 30525
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-8941
Mailing Address - Country:US
Mailing Address - Phone:888-449-7799
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA BARRA DE NAVIDAD #2
Practice Address - Street 2:EL CRUCERO DE SANTA MARI
Practice Address - City:COCULA
Practice Address - State:JALISCO
Practice Address - Zip Code:48500
Practice Address - Country:MX
Practice Address - Phone:888-449-7799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital