| Saint Lukes Memorial Hospital Inc | |
|
917 Ave Tito Castro Ponce PR 00716-4717 | |
| (787) 844-2080 | |
| Not Available |
| Full Name | Saint Lukes Memorial Hospital Inc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 917 Ave Tito Castro, Ponce, Puerto Rico |
| Authorized Official Name and Position | Ian Guillen (ASSISTANT CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7878442080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Lukes Memorial Hospital Inc Po Box 336810 Ponce PR 00733-6810 Ph: (787) 844-2080 | Saint Lukes Memorial Hospital Inc 917 Ave Tito Castro Ponce PR 00716-4717 Ph: (787) 844-2080 |
| NPI Number | 1841295557 |
|---|---|
| Provider Enumeration Date | 06/17/2005 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/31/2020 |
| Medicare PECOS PAC ID | 1456376599 |
|---|---|
| Medicare Enrollment ID | O20080125000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841295557 | NPI | - | NPPES |
| 10826 | Other | PR | TRIPLE S |
| 660191960 | Other | PR | MAPFRE & OTHERS |
| 19020 | Other | PR | TRIPLE S |
| 19826 | Other | PR | TRIPLE S |
| 7310370 | Other | PR | HUMANA |
| 31225 | Other | PR | TRIPLE S |
| 31247 | Other | PR | TRIPLE S |
| 5501466 | Other | PR | ACAA ASC |
| 92399 | Other | PR | TRIPLE S |
| 18826 | Other | PR | TRIPLE S |
| 300115 | Other | PR | UTI |
| 304264 | Other | PR | ACAA TERAPIA FISICA |
| 18020 | Other | PR | TRIPLE S |
| 4855 | Other | PR | IMC |
| 66011960B | Other | PR | MCS |
| 700009 | Other | PR | MMM |
| 31225 | Other | PR | TRIPLE C |
| 5001587 | Other | PR | ACAA HOSP/ER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 5 (Puerto Rico) | Primary |
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