Provider Demographics
NPI:1558572198
Name:HOSPITAL HIMA-SAN PABLO
Entity Type:Organization
Organization Name:HOSPITAL HIMA-SAN PABLO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-740-4747
Mailing Address - Street 1:PO BOX 3247
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00958-0247
Mailing Address - Country:US
Mailing Address - Phone:787-251-4165
Mailing Address - Fax:787-251-4165
Practice Address - Street 1:CALLE SANTA CRUZ # 70 URB SANTA CRUZ
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-740-4747
Practice Address - Fax:787-620-4763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09F2282282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital