Provider Demographics
NPI:1083129811
Name:HOGAR LOS LIRIOS II
Entity Type:Organization
Organization Name:HOGAR LOS LIRIOS II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAYMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-484-9493
Mailing Address - Street 1:Y1-19 CALLE XSIPIBU
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2225
Mailing Address - Country:US
Mailing Address - Phone:787-484-9493
Mailing Address - Fax:
Practice Address - Street 1:Y1-19 CALLE XSIPIBU
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2225
Practice Address - Country:US
Practice Address - Phone:787-484-9493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-01
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care