Basic Information
| Provider Information | |||||||||
| NPI: | 1790811792 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOSPITAL SAN ANTONIO, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18 NORTE | ||||||||
| Address2: | POST STREET | ||||||||
| City: | MAYAGUEZ | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00680 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878341085 | ||||||||
| FaxNumber: | 7878342104 | ||||||||
| Practice Location | |||||||||
| Address1: | 18 CALLE POST N | ||||||||
| Address2: | |||||||||
| City: | MAYAGUEZ | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006806626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878341085 | ||||||||
| FaxNumber: | 7878342104 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MARTINEZ | ||||||||
| AuthorizedOfficialFirstName: | FRANCISCO | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 7878341085 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | MHSAI | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 29 | PR | X | Hospitals | General Acute Care Hospital | 333600000X | X | Suppliers | Pharmacy |
No ID Information.