Provider Demographics
NPI:1881749976
Name:PLAZA HEALTH LLC
Entity type:Organization
Organization Name:PLAZA HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HARI
Authorized Official - Middle Name:
Authorized Official - Last Name:SABNANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-920-6000
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0246
Mailing Address - Country:US
Mailing Address - Phone:787-620-9600
Mailing Address - Fax:787-395-7471
Practice Address - Street 1:2428 CALLE LOIZA PUNTA LAS MARIAS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00913
Practice Address - Country:US
Practice Address - Phone:787-620-9612
Practice Address - Fax:787-726-8768
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLAZA HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-25
Last Update Date:2023-12-20
Deactivation Date:2020-12-02
Deactivation Code:
Reactivation Date:2023-03-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies