Provider Demographics
NPI:1669679015
Name:CAREGIVERS DE PUERTO RICO
Entity Type:Organization
Organization Name:CAREGIVERS DE PUERTO RICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:D
Authorized Official - Last Name:PATRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-726-2272
Mailing Address - Street 1:409 CALLE SAN JORGE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3313
Mailing Address - Country:US
Mailing Address - Phone:787-726-2272
Mailing Address - Fax:787-982-5960
Practice Address - Street 1:409 CALLE SAN JORGE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3313
Practice Address - Country:US
Practice Address - Phone:787-726-2272
Practice Address - Fax:787-982-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility