# 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:** 1063147387
- **Authorized official:** ISUANET CASTILLO MEDINA CPA (DIRECTORA EJECUTIVA OPERACIONAL)
- **Authorized official phone:** (787) 843-4185

## Contact information

- **Practice address:** CARR 2, KM 81.0, OFFICE 203, CARIBBEAN CINEMAS BLDG, ARECIBO, PR 00612-2040
- **Practice address phone:** (787) 878-5819
- **Practice address fax:** (787) 879-4321
- **Mailing address:** PO BOX 7064, PONCE, PR 00732-7064
- **Mailing address phone:** (787) 878-5819
- **Mailing address fax:** (787) 879-4321

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2022
- **Last updated:** 12/21/2022