Organization
IV HOME THERAPY CORP
Active
Other names
IV HOME THERAPY CORP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E. JOHNSON RODRIGUEZ SR. LPN (PRESIDENT)
(787) 507-0371
Entity
Organization
Contact information
Practice address
CARR VIEJA HACIA GUAYANILLA, BDA BALDORITY #579, PONCE, PR 00717-1789
(787) 507-0371
Mailing address
LOS MAESTROS, CALLE MARTIN CORCHADO #8234, PONCE, PR 00717-0254
(787) 507-0371
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
51
PR
251F00000X
Home Infusion Agency
06-059
PR
251J00000X
Nursing Care Agency
Primary
51
PR
261QM1300X
Multi-Specialty Clinic/Center
1689724882
PR
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
5275690001
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19319
TRIPLE S
PR
01
—
54470
HALTHCARE OF P,R, REFORMA
PR
Enumeration date
01/11/2007
Last updated
02/04/2014
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