Healthcare Provider Details

I. General information

NPI: 1639870694
Provider Name (Legal Business Name): CUIDARTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

P1 CALLE U URBANIZACION MONTE BRISAS 2
FAJARDO PR
00738-3236
US

IV. Provider business mailing address

P1 CALLE U URBANIZACION MONTE BRISAS 2
FAJARDO PR
00738-3236
US

V. Phone/Fax

Practice location:
  • Phone: 787-435-8167
  • Fax:
Mailing address:
  • Phone: 787-435-8167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: NANCY GONZALEZ
Title or Position: ADMINISTRADORA
Credential:
Phone: 787-435-8167