Provider Demographics
NPI:1649428509
Name:HOGAR TOQUE DE AMOR LARES INC
Entity type:Organization
Organization Name:HOGAR TOQUE DE AMOR LARES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTINEZ MERCADO
Authorized Official - Middle Name:
Authorized Official - Last Name:JOAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:787-632-7885
Mailing Address - Street 1:BOX 819
Mailing Address - Street 2:PMB 39
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669
Mailing Address - Country:US
Mailing Address - Phone:787-897-1404
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 431 KM 2.5 BARRIO LA TORRE SECTOR COLLAZO
Practice Address - Street 2:
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669
Practice Address - Country:US
Practice Address - Phone:787-897-1404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR03167311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility