Provider Demographics
NPI:1396974176
Name:FAMILY HEALTH CARE GROUP
Entity type:Organization
Organization Name:FAMILY HEALTH CARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMISTRADOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NANNETTE
Authorized Official - Middle Name:G
Authorized Official - Last Name:TORO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:1787-845-5180
Mailing Address - Street 1:PO BOX 332198
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-2198
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR 153 K.M. 7.5
Practice Address - Street 2:
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-845-5180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12804208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty