Provider Demographics
NPI:1083136667
Name:BLUE NET NUEVA INVERSION SA DE CV
Entity Type:Organization
Organization Name:BLUE NET NUEVA INVERSION SA DE CV
Other - Org Name:BLUE NET HOSPITALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMMERCIAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-526-9751
Mailing Address - Street 1:PO BOX 11661
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-1661
Mailing Address - Country:US
Mailing Address - Phone:954-526-9751
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA TRANSPENINSULAR KM 6.5 CABO BELLO
Practice Address - Street 2:
Practice Address - City:CABO SAN LUCAS
Practice Address - State:BAJA CALIFORNIA SUR
Practice Address - Zip Code:23410
Practice Address - Country:MX
Practice Address - Phone:526-241-0439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2017-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital