Provider Demographics
NPI:1689552051
Name:HOSPITAL MENONITA HUMACAO INC
Entity type:Organization
Organization Name:HOSPITAL MENONITA HUMACAO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COLLECTION
Authorized Official - Prefix:
Authorized Official - First Name:LISSETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-434-1700
Mailing Address - Street 1:PO BOX 8630
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-8630
Mailing Address - Country:US
Mailing Address - Phone:787-719-7070
Mailing Address - Fax:787-719-7819
Practice Address - Street 1:#351 CALLE FONT MARTELO
Practice Address - Street 2:BO. MABU
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792
Practice Address - Country:US
Practice Address - Phone:787-719-7819
Practice Address - Fax:787-719-7819
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPITAL MENONITA HUMACAO INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy