Provider Demographics
NPI:1548556079
Name:HOGAS LLEVANDO LUZ A LAS TINIEBLAS
Entity Type:Organization
Organization Name:HOGAS LLEVANDO LUZ A LAS TINIEBLAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIJOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-378-4221
Mailing Address - Street 1:PO BOX 51672
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-1672
Mailing Address - Country:US
Mailing Address - Phone:787-378-4221
Mailing Address - Fax:
Practice Address - Street 1:REPARTO HACIENDA, SECTOR EL PUNTO
Practice Address - Street 2:BO. BAYAMONCITO
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703
Practice Address - Country:US
Practice Address - Phone:787-378-4221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10665261QR0400X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation