Healthcare Provider Details

I. General information

NPI: 1780561746
Provider Name (Legal Business Name): GOLDEN SENIOR CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 MARGINAL KENNEDY BLDG. STE 706
SAN JUAN PR
00920
US

IV. Provider business mailing address

PO BOX 360530
SAN JUAN PR
00936-0530
US

V. Phone/Fax

Practice location:
  • Phone: 787-296-9588
  • Fax:
Mailing address:
  • Phone: 787-296-9588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State

VIII. Authorized Official

Name: MR. ANGEL ALEXANDER ABAD MARTINEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-296-9588