Provider Demographics
NPI:1629419197
Name:UNIENDO NUESTRAS MANOS INC.
Entity Type:Organization
Organization Name:UNIENDO NUESTRAS MANOS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICEPRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:VP
Authorized Official - Phone:787-674-0745
Mailing Address - Street 1:527 URB. COUTRY CLUB
Mailing Address - Street 2:QH 13
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982-2015
Mailing Address - Country:US
Mailing Address - Phone:787-674-0745
Mailing Address - Fax:
Practice Address - Street 1:527 URB.COUNTRY CLUB
Practice Address - Street 2:QH 13
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-2015
Practice Address - Country:US
Practice Address - Phone:787-674-0745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4191873302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization