# CUIDADO CASERO MAYAGUEZ, INC.

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

## Provider details

- **NPI number:** 1184658775
- **Authorized official:** CARMEN SANTIAGO DRPH (CEO)
- **Authorized official phone:** (817) 310-1100

## Contact information

- **Practice address:** 740 AVE HOSTOS, MEDICAL CENTER PLAZA OFFICE 310, MAYAGUEZ, PR 00682-1539
- **Practice address phone:** (787) 833-1985
- **Practice address fax:** (787) 831-2262
- **Mailing address:** 580 AVE DE DIEGO, PUERTO NUEVO, SAN JUAN, PR 00920-3723
- **Mailing address phone:** (787) 620-5577
- **Mailing address fax:** (787) 620-5582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 43153 | PR | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 02/09/2012