Organization
HOGAR MI SAGRADA FAMILIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN LUIS AVILES BORRERO (PRESIDENT)
(787) 406-7415
Entity
Organization
Contact information
Practice address
BO. CAMARONES KM 7.2, GUAYNABO, PR 00970
(787) 720-2330
(787) 720-2330
Mailing address
SANTA MARIA S/C 2000 ROAD 8177, SUITE 26 PMB 158, GUAYNABO, PR 00966-3762
(787) 720-2330
(787) 720-2330
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
201
PR
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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