Healthcare Provider Details
I. General information
NPI: 1225400732
Provider Name (Legal Business Name): HEALTH SENTINELS CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/23/2015
Last Update Date: 10/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
COND LAS MERCEDES # 424 APT. 203
SAN JUAN PR
00926-1942
US
IV. Provider business mailing address
COND LAS MERCEDES # 424 APT. 203
SAN JUAN PR
00926-1942
US
V. Phone/Fax
- Phone: 787-236-2953
- Fax:
- Phone: 787-236-2953
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | PR |
VIII. Authorized Official
Name:
YBOAN
ERYN
SIERRA
Title or Position: PRESIDENT
Credential:
Phone: 787-236-2953