| Mennonite General Hospital Inc. | |
|
Avenida Jose Gautier Benitez, Numero 230 Bo. Pueblo Caguas PR 00725-5546 | |
| (787) 296-9776 | |
| (787) 735-3749 |
| Full Name | Mennonite General Hospital Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Avenida Jose Gautier Benitez, Numero 230 Bo. Pueblo, Caguas, Puerto Rico |
| Authorized Official Name and Position | Lissette Vasquez Rivera (DIRECTOR BILLING AND COLLECTOR) |
| Authorized Official Contact | 7877142462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mennonite General Hospital Inc. Urb Bonneville Heights F35 Calle 2 Bo Pueblo Caguas PR 00725 Ph: (787) 434-1700 | Mennonite General Hospital Inc. Avenida Jose Gautier Benitez, Numero 230 Bo. Pueblo Caguas PR 00725-5546 Ph: (787) 296-9776 |
| NPI Number | 1225694037 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225694037 | NPI | - | NPPES |
| 6 | Other | PR | LICENCIA OPERACIONAL DEL DEPARTAMENTO DE SALUD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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