Provider Demographics
NPI:1710529102
Name:SMP HOTEL INC
Entity Type:Organization
Organization Name:SMP HOTEL INC
Other - Org Name:SAN MIGUEL PHYSICAL REHAB AND SKILLED NURSING FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CIARA
Authorized Official - Middle Name:O
Authorized Official - Last Name:SAN MIGUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-300-4000
Mailing Address - Street 1:2 CALLE LAS ROSAS STE 101
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7011
Mailing Address - Country:US
Mailing Address - Phone:787-300-4000
Mailing Address - Fax:
Practice Address - Street 1:2 CALLE LAS ROSAS STE 101
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7011
Practice Address - Country:US
Practice Address - Phone:787-300-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility