Provider Demographics
NPI:1922323716
Name:UN NUEVO DIA DE ALEGRIA LLC
Entity Type:Organization
Organization Name:UN NUEVO DIA DE ALEGRIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ GENERAL PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-765-8254
Mailing Address - Street 1:2114 ELM ST
Mailing Address - Street 2:
Mailing Address - City:ZAPATA
Mailing Address - State:TX
Mailing Address - Zip Code:78076-3641
Mailing Address - Country:US
Mailing Address - Phone:956-765-8254
Mailing Address - Fax:956-765-8265
Practice Address - Street 1:202 & 6TH AVE
Practice Address - Street 2:
Practice Address - City:ZAPATA
Practice Address - State:TX
Practice Address - Zip Code:78076-3763
Practice Address - Country:US
Practice Address - Phone:956-765-8254
Practice Address - Fax:956-765-8265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104252261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care