Provider Demographics
NPI:1639119241
Name:HOSPICIO EN EL HOGAR FE Y ESPERANZA DE PUERTO RICO, INC.
Entity Type:Organization
Organization Name:HOSPICIO EN EL HOGAR FE Y ESPERANZA DE PUERTO RICO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-854-3793
Mailing Address - Street 1:PO BOX 1099
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1099
Mailing Address - Country:US
Mailing Address - Phone:787-854-3793
Mailing Address - Fax:787-884-3435
Practice Address - Street 1:J9 CALLE HERNANDEZ CARRION
Practice Address - Street 2:URB ATENAS
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4623
Practice Address - Country:US
Practice Address - Phone:787-854-3793
Practice Address - Fax:787-884-3435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07-B-0443251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR401504Medicare Oscar/Certification