| Hospital Pavia Hato Rey-behavior | |
|
Ave. Ponce De Leon #435 Floors 4th & 5th Hato Rey PR 00917 | |
| (787) 641-2323 | |
| (787) 756-6747 |
| Full Name | Hospital Pavia Hato Rey-behavior |
|---|---|
| Speciality | Psychiatric Unit |
| Location | Ave. Ponce De Leon #435, Hato Rey, Puerto Rico |
| Authorized Official Name and Position | Laura Ivette Sola (FINANCE DIRECTOR) |
| Authorized Official Contact | 7876412323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Pavia Hato Rey-behavior Po Box 190828 San Juan PR 00919-0828 Ph: (787) 641-2323 | Hospital Pavia Hato Rey-behavior Ave. Ponce De Leon #435 Floors 4th & 5th Hato Rey PR 00917 Ph: (787) 641-2323 |
| NPI Number | 1760664643 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 08/18/2008 |
| Medicare PECOS PAC ID | 2466451950 |
|---|---|
| Medicare Enrollment ID | O20080627000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760664643 | NPI | - | NPPES |
| 40S128 | Other | PR | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 71 (Puerto Rico) | Primary |
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