Provider Demographics
NPI:1093032989
Name:TAGAYTAY HOSPITAL AND MEDICAL CENTER
Entity Type:Organization
Organization Name:TAGAYTAY HOSPITAL AND MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRICARE BILLING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:GABIOLA
Authorized Official - Last Name:RORALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:046-483-0134
Mailing Address - Street 1:AGUINALDO HIGHWAY, SILANG CROSSING EAST
Mailing Address - Street 2:
Mailing Address - City:TAGAYTAY CITY
Mailing Address - State:CAVITE
Mailing Address - Zip Code:4120
Mailing Address - Country:PH
Mailing Address - Phone:046-483-0134
Mailing Address - Fax:046-483-0134
Practice Address - Street 1:AGUINALDO HIGHWAY, SILANG CROSSING EAST
Practice Address - Street 2:
Practice Address - City:TAGAYTAY CITY
Practice Address - State:CAVITE
Practice Address - Zip Code:4120
Practice Address - Country:PH
Practice Address - Phone:046-483-0134
Practice Address - Fax:046-483-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-01
Last Update Date:2010-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital