# HUMACAOHOMECARE

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

## Provider details

- **NPI number:** 1275726028
- **Authorized official:** MR. GABRIEL SANTIAGO (OWNER)
- **Authorized official phone:** (787) 285-4555

## Contact information

- **Practice address:** AVENIDA FONT MARTELO, 301, HUMACAO, PR 00791-0000
- **Practice address phone:** (787) 285-0487
- **Practice address fax:** (787) 285-4555
- **Mailing address:** AVENIDA FONT MARTELO, 301, HUMACAO, PR 00791-3204
- **Mailing address phone:** (787) 285-0487
- **Mailing address fax:** (787) 285-4555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 134 | PR | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 08/24/2007