Healthcare Provider Details

I. General information

NPI: 1942725767
Provider Name (Legal Business Name): A PLUS HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 08/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 CALLE GARDEL
SAN JUAN PR
00917-1127
US

IV. Provider business mailing address

CALLE GARDEL 24 LOCAL C
SAN JUAN PR
00917
US

V. Phone/Fax

Practice location:
  • Phone: 787-771-3443
  • Fax:
Mailing address:
  • Phone: 787-771-3443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSE L GOTAY
Title or Position: PRESIDENT
Credential: BSN
Phone: 787-771-3443