Healthcare Provider Details

I. General information

NPI: 1982513644
Provider Name (Legal Business Name): BRIDGE CARE HOME SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 CARR 175 APT 1101
SAN JUAN PR
00926-8245
US

IV. Provider business mailing address

860 CARR 175 APT 1101
SAN JUAN PR
00926-8245
US

V. Phone/Fax

Practice location:
  • Phone: 787-585-8341
  • Fax:
Mailing address:
  • Phone: 787-585-8341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSUE CORDERO MANGUAL
Title or Position: CEO
Credential:
Phone: 787-585-8341