# PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013641869
- **Authorized official:** MRS. ISUANET CASTILLO MEDINA CPA (DIRECTORE EJECUTIVA OPERACIONAL)
- **Authorized official phone:** (787) 843-4185

## Contact information

- **Practice address:** 201 CALLE MENDEZ VIGO W, MAYAGUEZ, PR 00682-3204
- **Practice address phone:** (787) 833-8181
- **Practice address fax:** (787) 265-3400
- **Mailing address:** PO BOX 7064, PONCE, PR 00732-7064
- **Mailing address phone:** (787) 833-8181
- **Mailing address fax:** (787) 265-3400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2022
- **Last updated:** 07/25/2022