Provider Demographics
NPI:1265806558
Name:ALIANZA DE PROVEEDORES DE SALUD EN EL HOGAR
Entity type:Organization
Organization Name:ALIANZA DE PROVEEDORES DE SALUD EN EL HOGAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:787-236-9876
Mailing Address - Street 1:114 CALLE ELEONOR ROOSEVELT
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3105
Mailing Address - Country:US
Mailing Address - Phone:787-753-8095
Mailing Address - Fax:787-753-8095
Practice Address - Street 1:114 CALLE ELEONOR ROOSEVELT
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3105
Practice Address - Country:US
Practice Address - Phone:787-753-8095
Practice Address - Fax:787-753-8095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health