Provider Demographics
NPI:1790807501
Name:HOGAR BETHEL, CORP.
Entity Type:Organization
Organization Name:HOGAR BETHEL, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-439-1101
Mailing Address - Street 1:PO BOX 1698
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1698
Mailing Address - Country:US
Mailing Address - Phone:787-730-1101
Mailing Address - Fax:787-730-1101
Practice Address - Street 1:ALTURAS DE UNIQUE NUMERO 3
Practice Address - Street 2:PAJAROS AMERICANOS, 861 ROAD
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-730-1101
Practice Address - Fax:787-730-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRHCPSM01683104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness