MEDICARE: ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM

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	251E00000X	Home Health Agency	28	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	071002	OTHER	PR	CRUZ AZUL
2	1-9485ST	OTHER	PA	TRIPLE S
3	7330102	OTHER	PR	HUMANA
4	9800093	OTHER	PR	ACAA

General Provider Information

NPI Number	:	1720072986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM

Provider Business Mailing Address
First Line	:	CALLE CARRION MAUDRO ESQ CALLEJON LAS MARIAS
Second Line	:
City	:	JUANA DIAZ
State	:	PR
Zip	:	00795
Country	:	US
Telephone Number	:	787-843-4185
Fax Number	:	787-843-5850

Provider Business Practice Location Address
First Line	:	CALLE CARRION MAUDRO ESQ CALLEJON LAS MARIAS
Second Line	:
City	:	JUANA DIAZ
State	:	PR
Zip	:	00795
Country	:	US
Telephone Number	:	787-843-4185
Fax Number	:	787-843-5850

Authorized Official
Title or Position	:	OPERATIONAL EXECUTIVE DIRECTOR
Name	:	MS. ISUANET CASTILLO
Credential	:	CPA
Telephone Number	:	787-843-4185

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	12/16/2011

Similar Medicare Providers

1568774404 — DR. KARLA ESTHER TORRES ROMAN PSY.D
Practice Location Address:

CARR 149 KM 63.8 BO GUAYABAL , GUAYABAL PROFESSIONAL BUILDING SUITE 2005
JUANA DIAZ, PR
00795

Practice Phone: 939-339-1814
Practice Fax:

1962408104 — DR. JORGE LUIS RIVERA D.M.D.
Practice Location Address:

4 CALLE SANTIAGO VEVE
JUANA DIAZ, PR
00795-1653

Practice Phone: 787-837-8667
Practice Fax: 787-837-9679

1710984836 — DR. INGRID M ROSSO-TRIDAS DMD
Practice Location Address:

54 CALLE MUNOZ RIVERA
JUANA DIAZ, PR
00795-1608

Practice Phone: 787-837-4544
Practice Fax: 787-837-3851

1093712838 — SUPER FARMACIA JUANA DIAZ
Practice Location Address:

27 CALLE TOMAS CARRION MADURO
JUANA DIAZ, PR
00795-1642

Practice Phone: 787-837-2139
Practice Fax: 787-837-5911

1144229915 — ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Practice Location Address:

CALLE CARRION MADURO , ESQ CALLEJON LAS MARIAS
JUANA DIAZ, PR
00795

Practice Phone: 787-843-4185
Practice Fax: 787-843-5850

1720070147 — CARLOS VELEZ-TORRES MD
Practice Location Address:

5 CALLE SANTIAGO IGLESIAS
JUANA DIAZ, PR
00795-2304

Practice Phone: 787-260-0087
Practice Fax: 787-260-0087

Directions to “ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.