# CMS HOME CARE SUR, LLC.

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

## Provider details

- **NPI number:** 1770907818
- **Authorized official:** LINDA J. MENDEZ (CHIEF OPERATIONAL OFFICER)
- **Authorized official phone:** (787) 620-2900

## Contact information

- **Practice address:** 2004 CARR 506 STE 202 - COTO LAUREL, PONCE, PR 00780-2936
- **Practice address phone:** (787) 290-1100
- **Practice address fax:** (787) 841-4664
- **Mailing address:** PO BOX 3569, CAROLINA, PR 00984-3569
- **Mailing address phone:** (787) 290-1100
- **Mailing address fax:** (787) 841-4664

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2014
- **Last updated:** 02/26/2021
