Healthcare Provider Details

I. General information

NPI: 1386828143
Provider Name (Legal Business Name): CUIDADORES DEL ATLANTICO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO. COCOS SECTOR EL VERDE CARR #2 KILOMENTRO 99.9 INT
QUEBRADILLAS PR
00678
US

IV. Provider business mailing address

BO. COCOS SECTOR EL VERDE CARR #2 KILOMENTRO 99.9 INT HC 02 BOX 10323
QUEBRADILLAS PR
00678
US

V. Phone/Fax

Practice location:
  • Phone: 787-347-3242
  • Fax: 787-895-6065
Mailing address:
  • Phone: 787-347-3242
  • Fax: 787-895-6065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StatePR

VIII. Authorized Official

Name: GLORIANA LUGO
Title or Position: PRESIDENT
Credential:
Phone: 787-347-3242