Provider Demographics
NPI:1760486344
Name:HOSPITAL GENERAL DE CASTANER INC
Entity Type:Organization
Organization Name:HOSPITAL GENERAL DE CASTANER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMINGO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONROIG
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:787-829-4668
Practice Address - Street 1:ROAD 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:787-829-4668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR46 CNC 97 315282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR400010Medicare Oscar/Certification
0010030Medicare PIN