Provider Demographics
NPI:1609357532
Name:HOSPITAL GENERAL DE CASTANER INC.
Entity Type:Organization
Organization Name:HOSPITAL GENERAL DE CASTANER INC.
Other - Org Name:CLINICA MOVIL DEL HOSPITAL GENERAL DE CASTANER INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:J
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-829-5010
Mailing Address - Street 1:PO BOX 1003
Mailing Address - Street 2:
Mailing Address - City:CASTANER
Mailing Address - State:PR
Mailing Address - Zip Code:00631-1003
Mailing Address - Country:US
Mailing Address - Phone:787-829-5010
Mailing Address - Fax:
Practice Address - Street 1:CARR. 135 KM 64.2
Practice Address - Street 2:
Practice Address - City:CASTANER
Practice Address - State:PR
Practice Address - Zip Code:00631
Practice Address - Country:US
Practice Address - Phone:787-829-5010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPITAL GENERAL DE CASTANER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)