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General NPI Number Information
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NPI Number | 1689473787
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Entity Type | Organization
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Legal Business Name | HOGAR BRISAS DEL CIELO L.L.C.
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | CALLE AMAPOLA #282
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City | ARROYO
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State | PR
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Zip | 00714
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Country | US
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Telephone | 787-217-5297
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Fax |
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Provider Business Mailing Address
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Address Line | D7 URB LA RIVIERA
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City | ARROYO
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State | PR
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Zip | 00714-2723
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Country | US
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Telephone | 787-217-5297
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Fax |
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Authorized Official
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Title or Position | DIRECTORA
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Name | MRS. WILDA RAQUEL RAMOS RIVAS
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Credential |
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Telephone | 787-217-5297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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