Provider Demographics
NPI:1174140586
Name:SOUTHWEST HEALTH CORP HOSPITAL METROPOLITANO SAN GERMAN
Entity type:Organization
Organization Name:SOUTHWEST HEALTH CORP HOSPITAL METROPOLITANO SAN GERMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-892-5300
Mailing Address - Street 1:P O BOX 63
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683
Mailing Address - Country:US
Mailing Address - Phone:787-892-5300
Mailing Address - Fax:
Practice Address - Street 1:CARR 102 KM 38.8
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637
Practice Address - Country:US
Practice Address - Phone:787-892-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHWEST HEALTH CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care