Provider Demographics
NPI:1134106206
Name:HOSPITAL MEROPOLITANO DR. TITO MATTEI
Entity Type:Organization
Organization Name:HOSPITAL MEROPOLITANO DR. TITO MATTEI
Other - Org Name:HOSPITAL SAN LUCAS I DE PONCE
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICO GENERAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-644-5138
Mailing Address - Street 1:F12 CALLE A
Mailing Address - Street 2:JARDINES DE PONCE
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-1859
Mailing Address - Country:US
Mailing Address - Phone:787-843-9574
Mailing Address - Fax:
Practice Address - Street 1:AVE. A
Practice Address - Street 2:F 12 JARDINES DE PONCE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-1859
Practice Address - Country:US
Practice Address - Phone:787-843-9574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2580484282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR16204OtherTRIBUNAL EXAMINADOR DE PR