Provider Demographics
NPI:1811601214
Name:HOSPITAL COMUNITARIO BUEN SAMARITANO INC
Entity type:Organization
Organization Name:HOSPITAL COMUNITARIO BUEN SAMARITANO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GERENTE SERVICIOS FISCALES.
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-658-0000
Mailing Address - Street 1:CARR2 AVENIDA SEVERIANO CUEVAS 18
Mailing Address - Street 2:BO. CAIMITO ABAJO
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR2 AVENIDA SEVERIANO CUEVAS 18
Practice Address - Street 2:BO. CAIMITO ABAJO
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-658-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital