Provider Demographics
NPI:1114796083
Name:PRESBYTERIAN COMMUNITY HOSPITAL INC.
Entity Type:Organization
Organization Name:PRESBYTERIAN COMMUNITY HOSPITAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIT AND BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-721-2160
Mailing Address - Street 1:PO BOX 9020032
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00902-0032
Mailing Address - Country:US
Mailing Address - Phone:787-721-2160
Mailing Address - Fax:787-724-4986
Practice Address - Street 1:1451 AVE ASHFORD
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1511
Practice Address - Country:US
Practice Address - Phone:787-721-2160
Practice Address - Fax:787-724-4986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty