Provider Demographics
NPI:1386815801
Name:GUI-MER-FE
Entity Type:Organization
Organization Name:GUI-MER-FE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA-REYES
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:787-479-0690
Mailing Address - Street 1:CALLE C BLOUQE J#3 URB. JARDINES DE CAGUAS
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-2515
Mailing Address - Country:US
Mailing Address - Phone:787-744-0252
Mailing Address - Fax:
Practice Address - Street 1:CALLE C BLOUQE J#3 URB. JARDINES DE CAGUAS
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-2515
Practice Address - Country:US
Practice Address - Phone:787-744-0252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR159263140N1450X
PR489320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric