Provider Demographics
NPI:1851717417
Name:OPERADORA JOBARA SA DE CV
Entity Type:Organization
Organization Name:OPERADORA JOBARA SA DE CV
Other - Org Name:HOSPITAL MEDASIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:ALONSO
Authorized Official - Last Name:MORA GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:QFB
Authorized Official - Phone:322-223-0656
Mailing Address - Street 1:MANUEL M DIEGUEZ NO. 360
Mailing Address - Street 2:COL. EMILIANO ZAPATA
Mailing Address - City:PUERTO VALLARTA
Mailing Address - State:JALISCO
Mailing Address - Zip Code:48380
Mailing Address - Country:MX
Mailing Address - Phone:322-223-0656
Mailing Address - Fax:
Practice Address - Street 1:MANUEL M DIEGUEZ NO. 360
Practice Address - Street 2:COL. EMILIANO ZAPATA
Practice Address - City:PUERTO VALLARTA
Practice Address - State:JALISCO
Practice Address - Zip Code:48380
Practice Address - Country:MX
Practice Address - Phone:322-223-0656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZC6867002282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital