Provider Demographics
NPI:1336347582
Name:DANR. CORPORATION
Entity Type:Organization
Organization Name:DANR. CORPORATION
Other - Org Name:FIESTA ADULT DAY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RINCON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-831-3250
Mailing Address - Street 1:6466 S PADRE ISLAND HWY
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-5215
Mailing Address - Country:US
Mailing Address - Phone:956-831-3250
Mailing Address - Fax:956-831-0779
Practice Address - Street 1:6466 S PADRE ISLAND HWY
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-5215
Practice Address - Country:US
Practice Address - Phone:956-831-3250
Practice Address - Fax:956-831-0779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117478261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care