Provider Demographics
NPI:1730544081
Name:MENNONITE GENERAL HOSPITAL INC.
Entity type:Organization
Organization Name:MENNONITE GENERAL HOSPITAL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISSETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-434-1700
Mailing Address - Street 1:PO BOX 372800
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-2800
Mailing Address - Country:US
Mailing Address - Phone:787-434-1700
Mailing Address - Fax:787-535-1114
Practice Address - Street 1:15 CALLE HOSPITAL CARRETERA 155
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-0000
Practice Address - Country:US
Practice Address - Phone:787-434-1700
Practice Address - Fax:787-595-1114
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRO DE SALUD CONDUCTUAL MENONITA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-30
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No302R00000XManaged Care OrganizationsHealth Maintenance Organization