Provider Demographics
NPI:1255515219
Name:ISRAEL RODRIGUEZ UN NUEVO DIA ADULT DAY CARE
Entity type:Organization
Organization Name:ISRAEL RODRIGUEZ UN NUEVO DIA ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCANTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-583-5940
Mailing Address - Street 1:8102 WEST EXPRESSWAY 83
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78582
Mailing Address - Country:US
Mailing Address - Phone:956-583-5940
Mailing Address - Fax:
Practice Address - Street 1:8102 WEST EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572
Practice Address - Country:US
Practice Address - Phone:956-583-5940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care