Provider Demographics
NPI:1326492000
Name:PRESBYTERIAN COMMUNITY HOSPITAL INC
Entity Type:Organization
Organization Name:PRESBYTERIAN COMMUNITY HOSPITAL INC
Other - Org Name:PRESBYTERIAN COMMUNITY HOSPITAL INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:787-721-2160
Mailing Address - Street 1:1451 AVE ASHFORD
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1511
Mailing Address - Country:US
Mailing Address - Phone:787-721-2160
Mailing Address - Fax:787-725-4645
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:787-725-4645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4000001Medicare Oscar/Certification