Provider Demographics
NPI:1073040689
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:MR
Authorized Official - First Name:DOMINGO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONROIG
Authorized Official - Suffix:
Authorized Official - Credentials:
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 1:49 CALLE GUILLERMO ESTEVES PR 141
Practice Address - Street 2:
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664
Practice Address - Country:US
Practice Address - Phone:787-829-5010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POLICLINICA CASTANER EN JAYUYA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR400010Medicare PIN