| Organization Name: | MENNONITE GENERAL HOSPITAL,INC. |
| NPI Number: | 1255419503 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTA ROSA MERCADO (ADMINISTRATOR) |
| Mailing Address: | 2 Jose C Vazquez St. Bocaonillas Aibonito |
| State: | PR US |
| Postal Code: | 007051379 |
| Phone Number: | 7877359206 |
| Fax Number: | 7877357150 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | APM-047 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |