Provider Demographics
NPI:1891158135
Name:PR HEALING CARE CORP
Entity Type:Organization
Organization Name:PR HEALING CARE CORP
Other - Org Name:PR HEALING CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:L
Authorized Official - Last Name:PASTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-667-8654
Mailing Address - Street 1:D7 PLAZA DOCE
Mailing Address - Street 2:URB CAMBRIDGE PARK
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-1450
Mailing Address - Country:US
Mailing Address - Phone:787-667-8654
Mailing Address - Fax:
Practice Address - Street 1:D7 PLAZA DOCE
Practice Address - Street 2:URB CAMBRIDGE PARK
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-1450
Practice Address - Country:US
Practice Address - Phone:787-667-8654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities