Provider Demographics
NPI:1255922878
Name:HOSPITAL SAYULITA SRL DE CV
Entity type:Organization
Organization Name:HOSPITAL SAYULITA SRL DE CV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCARAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-903-7445
Mailing Address - Street 1:PO BOX 39662
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-9662
Mailing Address - Country:US
Mailing Address - Phone:954-526-9751
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA REVOLUCION NO 321 LOC A
Practice Address - Street 2:
Practice Address - City:SAYULITA
Practice Address - State:NAYARIT
Practice Address - Zip Code:63734
Practice Address - Country:MX
Practice Address - Phone:329-688-2338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital