Provider Demographics
NPI:1467251413
Name:HOSPITAL PUNTA PACIFICA
Entity type:Organization
Organization Name:HOSPITAL PUNTA PACIFICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-988-6512
Mailing Address - Street 1:333 H ST STE 500
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-5555
Mailing Address - Country:US
Mailing Address - Phone:619-988-6512
Mailing Address - Fax:
Practice Address - Street 1:BOULEVARD PACIFICA Y VIA PUNTA DARIEN
Practice Address - Street 2:
Practice Address - City:PANAMA
Practice Address - State:PANAMA
Practice Address - Zip Code:08010
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:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No291U00000XLaboratoriesClinical Medical Laboratory
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3416L0300XTransportation ServicesAmbulanceLand Transport