Provider Demographics
NPI:1023588878
Name:DOS CORAZONES HOMECARE
Entity type:Organization
Organization Name:DOS CORAZONES HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGO VILLAREAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-279-9993
Mailing Address - Street 1:3400 N MCCOLL RD STE 25
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5788
Mailing Address - Country:US
Mailing Address - Phone:956-279-9993
Mailing Address - Fax:956-630-2323
Practice Address - Street 1:3400 N MCCOLL RD STE 25
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5788
Practice Address - Country:US
Practice Address - Phone:956-279-9993
Practice Address - Fax:956-630-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty