Healthcare Provider Details

I. General information

NPI: 1699882787
Provider Name (Legal Business Name): SALUD EN EL HOGAR DEL CARIBE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CALLE BENITEZ CASTANO
VIEQUES PR
00765-3028
US

IV. Provider business mailing address

PO BOX 1416
VIEQUES PR
00765-1416
US

V. Phone/Fax

Practice location:
  • Phone: 787-741-2061
  • Fax: 787-741-2633
Mailing address:
  • Phone: 787-741-2061
  • Fax: 787-741-2633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROSA LOPEZ
Title or Position: DIRECTOR/ADMINISTRATOR
Credential:
Phone: 787-741-2061