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Organization

HUELLITAS DE AMOR PEDIATRIC HOME CARE,INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINNETTE M LOPEZ RN, BSN, MSM (C) (ADMINISTRATOR)
(787) 633-5163
Entity
Organization

Contact information

Practice address
EXT CAGUAX CARR 189, EDIFICIO INGEPROM, CAGUAS, PR 00725
(787) 633-5163
(787) 746-4444
Mailing address
200 AVE. RAFAEL CORDERO SUITE # 140, PMB 465, CAGUAS, PR 00725
(787) 633-5163
(787) 746-4444

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
# 48
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100987
LA CRUZ AZUL DE PR, INC.
PR
01
48
PEDIATRIC HOME HEALTH AGENCY
PR
01
57845
TRIPLE - S,INC
PR
01
7780029
HUMANA HEALTH PLANS OF PR
PR
Enumeration date
08/08/2006
Last updated
07/14/2015
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