NPI 1043246788

Bella Vista Policlinic, INC

Organisation Clinic/Center Mayaguez, PR

Practice location

Address: Ave Hostos Number 770, Mayaguez, PR 00682-6353
Phone: (787) 834-6161
Fax: (787) 805-4635
Mailing address: PO Box 850, Mayaguez, PR 00681-0850

Authorised official

Name: Enrique Rivera
Title: Administrative Asistant
Phone: (787) 834-6161

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 10 CNC 99-331 (PR)

Other Clinic/Center providers in Puerto Rico →

Registry record

NPI: 1043246788
Entity type: Organization
NPI issued: 24 Jun 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.