Healthcare Provider Details

I. General information

NPI: 1780170662
Provider Name (Legal Business Name): HOPE HEALTHCARE PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2018
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 AVE PONCE DE LEON STE 206
SAN JUAN PR
00909-1917
US

IV. Provider business mailing address

PO BOX 19237
SAN JUAN PR
00910-1237
US

V. Phone/Fax

Practice location:
  • Phone: 787-722-8227
  • Fax: 787-728-4163
Mailing address:
  • Phone: 787-722-8227
  • Fax: 787-728-4163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIA E NARVAEZ RIVERA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-722-8227