Provider Demographics
NPI:1558570747
Name:HOGAR AURORA DE LAS MERCEDES INC.
Entity Type:Organization
Organization Name:HOGAR AURORA DE LAS MERCEDES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:PROF
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:ALEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MPHG
Authorized Official - Phone:939-630-2205
Mailing Address - Street 1:690 CALLE CUPIDO
Mailing Address - Street 2:VENUS GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4804
Mailing Address - Country:US
Mailing Address - Phone:939-630-2205
Mailing Address - Fax:787-748-1903
Practice Address - Street 1:690 CALLE CUPIDO
Practice Address - Street 2:VENUS GARDENS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4804
Practice Address - Country:US
Practice Address - Phone:939-630-2205
Practice Address - Fax:787-748-1903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1780764311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home