Provider Demographics
NPI:1376605170
Name:DORADO HEALTH INC
Entity Type:Organization
Organization Name:DORADO HEALTH INC
Other - Org Name:MANATI MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORISELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-621-3700
Mailing Address - Street 1:P.O.BOX 1142
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-621-3700
Mailing Address - Fax:787-621-3715
Practice Address - Street 1:CALLE HERNANDEZ CARRION
Practice Address - Street 2:URB. ATENAS
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-621-3700
Practice Address - Fax:787-621-3715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR10236OtherSSS
PR83518OtherSSS
PR17236OtherSSS
PR10217OtherSSS
PR19236OtherSSS
PR30574OtherSSS
PR18236OtherSSS
PR30491OtherSSS
PR16236OtherSSS
PR81418OtherSSS
PR89720OtherSSS
PR83518OtherSSS
PR17236OtherSSS
PR=========OtherTAX ID