Healthcare Provider Details

I. General information

NPI: 1710572664
Provider Name (Legal Business Name): CARE LINK GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2021
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

P60 AVE SANTA JUANITA
BAYAMON PR
00956-4954
US

IV. Provider business mailing address

COTORRA R7 VISTA DEL MORRO
CATANO PR
00962
US

V. Phone/Fax

Practice location:
  • Phone: 787-361-9155
  • Fax:
Mailing address:
  • Phone: 787-361-9155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JUAN GABRIEL ESTRADA
Title or Position: VICE PRESIDENT
Credential:
Phone: 787-361-9155