Provider Demographics
NPI:1538100946
Name:MUNICIPIO DE HUMACAO
Entity Type:Organization
Organization Name:MUNICIPIO DE HUMACAO
Other - Org Name:CDT DR JORGE FRANCESCHI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCELO
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUJILLO PANISSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-852-0665
Mailing Address - Street 1:PO BOX 178
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-0178
Mailing Address - Country:US
Mailing Address - Phone:787-852-0665
Mailing Address - Fax:787-850-1775
Practice Address - Street 1:CALLE SERGIO PENA ALMODOVAL
Practice Address - Street 2:ESQUINA FLOR GERENA
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792-0178
Practice Address - Country:US
Practice Address - Phone:787-852-0665
Practice Address - Fax:787-850-1775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07B1380282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital