Provider Demographics
NPI:1609096593
Name:FARMACIA HOSPITAL CRISTO REDENTOR
Entity Type:Organization
Organization Name:FARMACIA HOSPITAL CRISTO REDENTOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RABELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-686-0066
Mailing Address - Street 1:PO BOX 10011
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-4011
Mailing Address - Country:US
Mailing Address - Phone:787-686-0066
Mailing Address - Fax:787-866-4139
Practice Address - Street 1:AVE. PEDRO ALBIZU CAMPOS 10011
Practice Address - Street 2:LA HACIENDA
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-4011
Practice Address - Country:US
Practice Address - Phone:787-686-0066
Practice Address - Fax:787-866-4139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR09F1790282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital