Healthcare Provider Details

I. General information

NPI: 1891158135
Provider Name (Legal Business Name): PR HEALING CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 04/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

D7 PLAZA DOCE URB CAMBRIDGE PARK
SAN JUAN PR
00926-1450
US

IV. Provider business mailing address

D7 PLAZA DOCE URB CAMBRIDGE PARK
SAN JUAN PR
00926-1450
US

V. Phone/Fax

Practice location:
  • Phone: 787-667-8654
  • Fax:
Mailing address:
  • Phone: 787-667-8654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. HECTOR L PASTOR
Title or Position: PRESIDENT
Credential:
Phone: 787-667-8654