Organization
FIRST HEALTH HOME CARE BENEFIT
Active
Other names
first health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUE J ILLAS RN (DIRECTOR)
(939) 529-1320
Entity
Organization
Contact information
Practice address
URB PUERTO NUEVO CALLE ARAGON, 605, SAN JUAN, PR 00920
(787) 749-2727
Mailing address
URB PUERTO NUEVO CALLE ARAGON, BUZON 605, SAN JUAN, PR 00920
(939) 529-1320
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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