Healthcare Provider Details

I. General information

NPI: 1164305835
Provider Name (Legal Business Name): VA HEROES DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO BUENA VISTA CARRETERA 829 KM 0.6
BAYAMON PR
00956
US

IV. Provider business mailing address

PO BOX 3910
GUAYNABO PR
00970-3910
US

V. Phone/Fax

Practice location:
  • Phone: 787-462-8111
  • Fax:
Mailing address:
  • Phone: 787-462-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WILFREDO RODRIGUEZ-MORENO
Title or Position: PRESIDENT
Credential:
Phone: 787-462-8111