Provider Demographics
NPI:1780623108
Name:NAVAL HOSPITAL ROTA
Entity type:Organization
Organization Name:NAVAL HOSPITAL ROTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UBO MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANADO CABALLERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:011-349-5682
Mailing Address - Street 1:USNH ROTA SPAIN
Mailing Address - Street 2:PSC 819 BOX 18
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09645
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSC 819 BOX 18
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09645-0018
Practice Address - Country:US
Practice Address - Phone:3495-682-3515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAVAL HOSPITAL ROTA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-05
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital