Healthcare Provider Details

I. General information

NPI: 1033431077
Provider Name (Legal Business Name): 60 PLUS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2010
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO ROMERO CALLE JOBOS 2822
PONCE PR
00731
US

IV. Provider business mailing address

PO BOX 336897
PONCE PR
00733-6897
US

V. Phone/Fax

Practice location:
  • Phone: 787-662-8458
  • Fax:
Mailing address:
  • Phone: 787-662-8458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JANIRA VERA
Title or Position: ADMINISTRATOR
Credential:
Phone: 787-662-8458