Provider Demographics
NPI:1114362159
Name:HOGAR YAIXA,CORP
Entity Type:Organization
Organization Name:HOGAR YAIXA,CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIXA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABREU
Authorized Official - Suffix:
Authorized Official - Credentials:GERENTOLOGIA
Authorized Official - Phone:787-219-7934
Mailing Address - Street 1:PO BOX 142975
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-2975
Mailing Address - Country:US
Mailing Address - Phone:787-219-7934
Mailing Address - Fax:787-544-6972
Practice Address - Street 1:CARR.486 KM 2.1 INT
Practice Address - Street 2:CAMINO LOS 7,BARRIO ZANJAS
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-219-7934
Practice Address - Fax:787-544-6972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness