Provider Demographics
NPI:1093922163
Name:HOSPICIO EL NUEVO AMANECER
Entity Type:Organization
Organization Name:HOSPICIO EL NUEVO AMANECER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EYLEEN
Authorized Official - Middle Name:I
Authorized Official - Last Name:RODRIGUEZ LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-888-7700
Mailing Address - Street 1:P.O. BOX 2303
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745-2303
Mailing Address - Country:US
Mailing Address - Phone:787-888-7700
Mailing Address - Fax:787-888-7800
Practice Address - Street 1:ALTURAS DE RIO GRANDE CALLE B
Practice Address - Street 2:AA14
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745
Practice Address - Country:US
Practice Address - Phone:787-888-7700
Practice Address - Fax:787-888-7800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
401540Medicare Oscar/Certification