Provider Demographics
NPI:1639925910
Name:CENTRO HOSPITALARIO MAC SA DE CV
Entity type:Organization
Organization Name:CENTRO HOSPITALARIO MAC SA DE CV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-526-9751
Mailing Address - Street 1:PO BOX 11577
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-1577
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LIB. JOSE MANUEL ZAVALA 12, CENTRO
Practice Address - Street 2:
Practice Address - City:SAN MIGUEL DE ALLENDE
Practice Address - State:GUANAJUATO
Practice Address - Zip Code:37700
Practice Address - Country:MX
Practice Address - Phone:524-151-5259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital