Organization
HUMACAOHOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL SANTIAGO (OWNER)
(787) 285-4555
Entity
Organization
Contact information
Practice address
AVENIDA FONT MARTELO, 301, HUMACAO, PR 00791-0000
(787) 285-0487
(787) 285-4555
Mailing address
AVENIDA FONT MARTELO, 301, HUMACAO, PR 00791-3204
(787) 285-0487
(787) 285-4555
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
134
PR
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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