Provider Demographics
NPI:1508897901
Name:HOSPITAL GENERAL SAN CARLOS,INC.
Entity Type:Organization
Organization Name:HOSPITAL GENERAL SAN CARLOS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:R
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-727-5858
Mailing Address - Street 1:PO BOX 8410
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-0410
Mailing Address - Country:US
Mailing Address - Phone:787-727-5858
Mailing Address - Fax:787-268-0117
Practice Address - Street 1:1822 AVE. PONCE DE LEON
Practice Address - Street 2:SANTURCE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1906
Practice Address - Country:US
Practice Address - Phone:787-727-5858
Practice Address - Fax:787-268-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR58282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital