Healthcare Provider Details

I. General information

NPI: 1740729896
Provider Name (Legal Business Name): HOGAR SANTISIMA TRINIDAD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 861 # KM7.0 BO. MUCARABONES
TOA ALTA PR
00953-8528
US

IV. Provider business mailing address

PO BOX 607071 PMB 326A
BAYAMON PR
00960-7071
US

V. Phone/Fax

Practice location:
  • Phone: 787-799-6208
  • Fax: 787-799-1977
Mailing address:
  • Phone: 787-799-6208
  • Fax: 787-799-1977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License NumberCB0002
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License NumberCTRSA-0002
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY COLON-RIOS
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 787-799-6208