Healthcare Provider Details

I. General information

NPI: 1730464934
Provider Name (Legal Business Name): LA PAZ HOSPICE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 10/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 SION FARM SUITE 11 & 12
CHRISTIANSTED VI
00821
US

IV. Provider business mailing address

4100 SION FARM SUITE 11 & 12
CHRISTIANSTED VI
00820
US

V. Phone/Fax

Practice location:
  • Phone: 340-719-3113
  • Fax: 340-719-3117
Mailing address:
  • Phone: 340-719-3113
  • Fax: 340-719-3117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number908
License Number StateVI

VIII. Authorized Official

Name: DR. RAYMOND CINTRON
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 340-719-3113