Healthcare Provider Details
I. General information
NPI: 1699265496
Provider Name (Legal Business Name): CONFIABILITY CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2018
Last Update Date: 05/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
574 CALLE PONTEVEDRA
SAN JUAN PR
00923-1532
US
IV. Provider business mailing address
PO BOX 9300635
SAN JUAN PR
00928-6035
US
V. Phone/Fax
- Phone: 787-546-5016
- Fax: 787-985-1412
- Phone: 787-546-5016
- Fax: 787-985-1412
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HECTOR
G
LORENZO
SR.
Title or Position: PRESIDENT
Credential:
Phone: 787-546-5016