Provider Demographics
NPI:1225314438
Name:COALICION DE COALICIONES PRO PERSONAS SIN HOGAR DE PUERTO RICO, INC
Entity Type:Organization
Organization Name:COALICION DE COALICIONES PRO PERSONAS SIN HOGAR DE PUERTO RICO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-848-3073
Mailing Address - Street 1:44 CALLE ISABEL
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-3722
Mailing Address - Country:US
Mailing Address - Phone:787-848-3073
Mailing Address - Fax:787-813-1919
Practice Address - Street 1:1663 CALLE SALUD ESQ. CAMPECHE
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730
Practice Address - Country:US
Practice Address - Phone:787-848-3073
Practice Address - Fax:787-813-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-01
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management