Provider Demographics
NPI:1407346109
Name:SUMACA S.A DE C.V.
Entity Type:Organization
Organization Name:SUMACA S.A DE C.V.
Other - Org Name:AMC HOSPITALS
Other - Org Type:Other Name
Authorized Official - Title/Position:CUENTAS POR COBRAR
Authorized Official - Prefix:
Authorized Official - First Name:LIZZETE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-903-7445
Mailing Address - Street 1:PO BOX 39192
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-9192
Mailing Address - Country:US
Mailing Address - Phone:954-903-7445
Mailing Address - Fax:
Practice Address - Street 1:PASEO DE LA MARINA INT 4116, EL MEDANO,
Practice Address - Street 2:
Practice Address - City:SAN JOSE DEL CABO
Practice Address - State:BAJA CALIFORNIA SUR
Practice Address - Zip Code:23453
Practice Address - Country:MX
Practice Address - Phone:624-143-4911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-17
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital