Provider Demographics
NPI:1962883967
Name:HOSPITAL AUXILIO MUTUO
Entity type:Organization
Organization Name:HOSPITAL AUXILIO MUTUO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:
Authorized Official - First Name:PILAR
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ HINOJOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-937-8068
Mailing Address - Street 1:921 CARR 876 APT K-103
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-7501
Mailing Address - Country:US
Mailing Address - Phone:954-937-8068
Mailing Address - Fax:
Practice Address - Street 1:921 CARR 876 APT 97
Practice Address - Street 2:
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-7514
Practice Address - Country:US
Practice Address - Phone:954-937-8068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19084251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health