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General NPI Number Information
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NPI Number | 1164305835
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Entity Type | Organization
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Legal Business Name | VA HEROES DAY CARE INC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | BO BUENA VISTA CARRETERA 829 KM 0.6
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-462-8111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3910
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City | GUAYNABO
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State | PR
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Zip | 00970-3910
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Country | US
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Telephone | 787-462-8111
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILFREDO RODRIGUEZ-MORENO
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Credential |
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Telephone | 787-462-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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