Provider Demographics
NPI:1841426053
Name:NIEVES MELENDEZ MEDICAL CENTER & CHILDREN'S HOSPITAL CORP
Entity Type:Organization
Organization Name:NIEVES MELENDEZ MEDICAL CENTER & CHILDREN'S HOSPITAL CORP
Other - Org Name:NIEVES MELENDEZ MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:OLSZEWSKI
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:787-644-7308
Mailing Address - Street 1:PO BOX 2960
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-2960
Mailing Address - Country:US
Mailing Address - Phone:787-644-7308
Mailing Address - Fax:
Practice Address - Street 1:106 CALLE COLON
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3002
Practice Address - Country:US
Practice Address - Phone:787-644-7308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care