Provider Demographics
NPI:1689678690
Name:HOSPICIO LA CARIDAD, INC
Entity Type:Organization
Organization Name:HOSPICIO LA CARIDAD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NANALI
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-286-8745
Mailing Address - Street 1:RES VILLA DEL REY # 4
Mailing Address - Street 2:CALLE 2 4G15
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-7113
Mailing Address - Country:US
Mailing Address - Phone:787-286-8745
Mailing Address - Fax:787-744-9791
Practice Address - Street 1:RES VILLA DEL REY # 4
Practice Address - Street 2:CALLE 2 4G15
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-7113
Practice Address - Country:US
Practice Address - Phone:787-286-8745
Practice Address - Fax:787-744-9791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
401538Medicare ID - Type Unspecified