Provider Demographics
NPI:1598997975
Name:HOSPICIO DEL NORTE
Entity Type:Organization
Organization Name:HOSPICIO DEL NORTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-462-2375
Mailing Address - Street 1:PO BOX 140927
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0927
Mailing Address - Country:US
Mailing Address - Phone:787-878-7466
Mailing Address - Fax:787-878-7466
Practice Address - Street 1:LOS MORA STREET 653
Practice Address - Street 2:BO. HATO ABAJO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-7466
Practice Address - Fax:787-878-7466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based