Provider Demographics
NPI:1629812433
Name:XANARTE, LLC
Entity type:Organization
Organization Name:XANARTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCECUTIVE DIRECTOR, CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:GONZALEZ
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:787-240-1755
Mailing Address - Street 1:URB BOSQUE DE LA SIERRA, CALLE COQUI GRILLO
Mailing Address - Street 2:1004
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-240-1755
Mailing Address - Fax:
Practice Address - Street 1:AVE. PEDRO ALBIZU CAMPOS URB. LA HACIENDA
Practice Address - Street 2:HOSPITAL MENONITA GUAYAMA SUITE 301
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-558-7038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service