Organization
HOME HEALTH LA MONSERRATE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAYRA R MENDEZ (VICE PRESIDENT)
(787) 873-5998
Entity
Organization
Contact information
Practice address
100 AVE 5 DE DICIEMBRE, SABANA GRANDE, PR 00637-1961
(787) 873-5998
(787) 873-6001
Mailing address
PO BOX 1263, AGUADA, PR 00602-1263
(787) 873-5998
(787) 873-6001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
12-171
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39
LICENCIA DEL ESTADO
PR
01
—
407050
MEDICARE PTAN
PR
Enumeration date
09/19/2012
Last updated
12/29/2022
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