Provider Demographics
NPI:1710070800
Name:SALUD EN SU HOGAR
Entity Type:Organization
Organization Name:SALUD EN SU HOGAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TRINIDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:VELOQUIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-447-8115
Mailing Address - Street 1:RR 1 BOX 355B
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-9260
Mailing Address - Country:US
Mailing Address - Phone:956-447-8115
Mailing Address - Fax:956-447-8116
Practice Address - Street 1:RR 1 BOX 355B
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-9260
Practice Address - Country:US
Practice Address - Phone:956-447-8115
Practice Address - Fax:956-447-8116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009165251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453191Medicare Oscar/Certification