Provider Demographics
NPI:1013459379
Name:HOSPICIO LUZ DE ESPERANZA INC.
Entity Type:Organization
Organization Name:HOSPICIO LUZ DE ESPERANZA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-854-7700
Mailing Address - Street 1:P O BOX 30500
Mailing Address - Street 2:PMB 246
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-584-7700
Mailing Address - Fax:787-854-7027
Practice Address - Street 1:126 CORDOVA DAVILA
Practice Address - Street 2:CARR 6670 K07
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-7700
Practice Address - Fax:787-854-7027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based