Provider Demographics
NPI:1508183005
Name:YAUCO HEALTHCARE CORP
Entity Type:Organization
Organization Name:YAUCO HEALTHCARE CORP
Other - Org Name:HOSPITAL METROPOLITANO DR. TITO MATEI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:F
Authorized Official - Last Name:BAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA FACHE
Authorized Official - Phone:787-856-1000
Mailing Address - Street 1:PO BOX 5643
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-5643
Mailing Address - Country:US
Mailing Address - Phone:787-856-1000
Mailing Address - Fax:787-856-4250
Practice Address - Street 1:CARR. 128 KM. 1.0
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-856-1000
Practice Address - Fax:787-856-4250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRCASC-0462261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health