Provider Demographics
NPI:1427801083
Name:HOSPITAL PUNTA PACIFICA S.A.
Entity type:Organization
Organization Name:HOSPITAL PUNTA PACIFICA S.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESTHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-526-9751
Mailing Address - Street 1:PO BOX 39192
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-9192
Mailing Address - Country:US
Mailing Address - Phone:954-526-9751
Mailing Address - Fax:
Practice Address - Street 1:BOULEVARD PACIFICA Y VIA PUNTA DARIEN, CIUDAD DE PANAMA
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:PANANA
Practice Address - Zip Code:99999
Practice Address - Country:PA
Practice Address - Phone:507-204-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care