Organization
ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Active
Other names
St. Lukes Home Health Agency Aibonito
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRA HERNANDEZ (GERENTE FACTURACION COBRO)
(787) 843-5855
Entity
Organization
Contact information
Practice address
CARDEMAR SHOPPING CENTER, R-10 CALLE ESMERALDA, CAYEY, PR 00737-2079
(787) 843-4185
(787) 843-5850
Mailing address
APTDO 2079, CAYEY, PR 00737-2079
(787) 843-4185
(787) 843-5850
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
29
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071002
CRUZ AZUL
PR
01
—
1-9485ST
TRIPLE S
PR
01
—
7330102
HUMANA
PR
01
—
9800093
ACAA
PR
Enumeration date
08/29/2005
Last updated
07/24/2008
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