Provider Demographics
NPI:1861494163
Name:DOCTORS CENTER HOSPITAL INC
Entity Type:Organization
Organization Name:DOCTORS CENTER HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICENTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-854-3322
Mailing Address - Street 1:PO BOX 30532
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-854-3322
Mailing Address - Fax:787-854-3307
Practice Address - Street 1:CARR. #2 KM 47.7
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-3322
Practice Address - Fax:787-854-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR47282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR18167OtherTRIPLE S OPD
PR660271608OtherMEDICAL CARD SYSTEM
PR10167OtherTRIPLE S IPD
PR30154OtherCRUZ AZUL IPD OPD
PR80308OtherMEDICARE PART B INTER
PR400118Medicare Oscar/Certification
PR660271608OtherMEDICAL CARD SYSTEM