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General NPI Number Information
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NPI Number | 1356576391
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Entity Type | Organization
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Legal Business Name | ANGELES VISITANTES INC
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 29 CALLE TOMAS CARRION MADURO SUITE 1
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City | JUANA DIAZ
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State | PR
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Zip | 00795-1602
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Country | US
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Telephone | 787-837-8882
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Fax | 787-837-3748
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Provider Business Mailing Address
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Address Line | PO BOX 800982
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City | COTO LAUREL
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State | PR
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Zip | 00780-0982
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Country | US
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Telephone | 787-837-8882
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Fax | 787-837-3748
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANA C MUNOZ
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Credential | ESQ
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Telephone | 787-479-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 19
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License Number State | PR
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