Provider Demographics
NPI:1689767337
Name:TENDER LOVING CARE MEDICAL INC
Entity Type:Organization
Organization Name:TENDER LOVING CARE MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROCIO
Authorized Official - Middle Name:S
Authorized Official - Last Name:MADRINAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-648-0127
Mailing Address - Street 1:PO BOX 8034
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-8034
Mailing Address - Country:US
Mailing Address - Phone:787-648-0127
Mailing Address - Fax:787-653-6089
Practice Address - Street 1:AVENUE RAFAEL CORDERO CALLE TROCHE
Practice Address - Street 2:OF L01 ANTIGUO HOSPITAL MUNICIPAL
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0000
Practice Address - Country:US
Practice Address - Phone:787-648-0127
Practice Address - Fax:787-653-6089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0087915Medicare ID - Type Unspecified