1710187596 NPI number — HOGAR VILLAS DEL TOA

Table of content: (NPI 1710187596)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710187596 NPI number — HOGAR VILLAS DEL TOA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOGAR VILLAS DEL TOA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710187596
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
RR7 B0X 16594
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOA ALTA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00953
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-730-8333
Provider Business Mailing Address Fax Number:
787-279-1585

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 PASEO MONACO
Provider Second Line Business Practice Location Address:
APTO 17 EDIF 9
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956-9773
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-730-8333
Provider Business Practice Location Address Fax Number:
787-279-1585
Provider Enumeration Date:
07/20/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SANCHEZ
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
787-730-8333

Provider Taxonomy Codes

  • Taxonomy code: 310500000X , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)