# CORPORACION LAS VEGAS, LLC

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

## Provider details

- **NPI number:** 1659364248
- **Authorized official:** MRS. ISAMAR HASSAN PEREZ RPT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 854-1426

## Contact information

- **Practice address:** CARR 2, EDIF LAS VEGAS \#420, BO CAMPO ALEGRE, MANATI, PR 00674-5765
- **Practice address phone:** (787) 854-1426
- **Practice address fax:** (787) 884-3757
- **Mailing address:** PO BOX 1086, RD \#2, LAS VEGAS BLDG. \#420, BO CAMPO ALEGRE, MANATI, PR 00674-1086
- **Mailing address phone:** (787) 854-1426
- **Mailing address fax:** (787) 884-3757

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2005
- **Last updated:** 04/02/2025