Provider Demographics
NPI:1558505768
Name:VISITING NURSE ASSOCIATION GREGORIA AUFFANT,INC
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION GREGORIA AUFFANT,INC
Other - Org Name:BARRANQUITAS SUB-UNIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINO
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:787-857-6614
Mailing Address - Street 1:102 CALLE BARCELO
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-1614
Mailing Address - Country:US
Mailing Address - Phone:787-857-6614
Mailing Address - Fax:787-857-6614
Practice Address - Street 1:114 ELEANOR ROOSVELT STREET
Practice Address - Street 2:EL VEDADO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3105
Practice Address - Country:US
Practice Address - Phone:787-754-4211
Practice Address - Fax:787-753-8095
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISITING NURSE ASSOCIATION GREGORIA AUFFANT,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR31251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health