Organization
CORAZON DIVINO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA MARIE GONZALEZ (ADMINISTRATOR)
(956) 609-8250
Entity
Organization
Contact information
Practice address
1409 S 9TH AVE STE 225, EDINBURG, TX 78539-5527
(956) 609-8250
(888) 879-6223
Mailing address
1409 S 9TH AVE STE 225, EDINBURG, TX 78539-5527
(956) 609-8250
(888) 879-6223
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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