MEDICARE: HEALTH CARE MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1154984359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	G11 CALLE SEGUNDO DELGADO
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00987-7124
Country	:	US
Telephone Number	:	787-232-9059
Fax Number	:	787-963-0201

Provider Business Practice Location Address
First Line	:	C92 CALLE BRAZIL
Second Line	:	ROLLING HILLS
City	:	CAROLINA
State	:	PR
Zip	:	00987-0098
Country	:	US
Telephone Number	:	787-963-0201
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MARIA A CRUZ CRUZ
Credential	:
Telephone Number	:	787-232-9059

Provider Enumeration Date	:	04/15/2019
Last Update Date	:	04/15/2019

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