Organization
HOSPICIO LA GUADALUPE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUZ M GONZALEZ (ADMINISTRATOR)
(787) 259-8210
Entity
Organization
Contact information
Practice address
CARR #14, ANEXO HOSP ONCOLOGICO, PONCE, PR 00732-0000
(787) 259-8210
Mailing address
PO BOX 7699, PONCE, PR 00732-7699
(787) 259-8210
(787) 259-8205
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17185
TRIPLE C INC.
PR
01
—
8400008
HUMANA
PR
Enumeration date
05/31/2005
Last updated
08/22/2020
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