Provider Demographics
NPI:1346357225
Name:FIRST HOSPITAL PANAMERICANO INC
Entity Type:Organization
Organization Name:FIRST HOSPITAL PANAMERICANO INC
Other - Org Name:FHC PANAMERICANO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SRVP CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:STATE ROAD 787 KM 1 5
Mailing Address - Street 2:BAYAMOND WARD
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-1400
Mailing Address - Country:US
Mailing Address - Phone:787-739-5555
Mailing Address - Fax:787-739-5544
Practice Address - Street 1:STATE ROAD 787 KM 1 5
Practice Address - Street 2:BAYAMOND WARD
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-1400
Practice Address - Country:US
Practice Address - Phone:787-739-5555
Practice Address - Fax:787-739-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR97 CNC NUM 91173283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
404004Medicare Oscar/Certification