Organization
MED HEALTH HOSPICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS A MONTALVO (OWNER)
(787) 254-4307
Entity
Organization
Contact information
Practice address
BO GUANAJIBO SECTOR PARABUEYON, CARR 102 KM 18.6, CABO ROJO, PR 00623
(787) 254-4307
(787) 254-4307
Mailing address
154 CARR 102, CABO ROJO, PR 00623-3138
(787) 254-4307
(787) 254-4307
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
001367
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401567
MEDICARE HOSPICE PROVIDER NUMBER
PR
Enumeration date
07/03/2007
Last updated
03/28/2024
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