Provider Demographics
NPI:1700133568
Name:CENTRO NUEVA ESTRELLA INC.
Entity type:Organization
Organization Name:CENTRO NUEVA ESTRELLA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTRED NURSE
Authorized Official - Prefix:MISS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:YOLANDA
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:787-604-6918
Mailing Address - Street 1:PO BOX 2312
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-2312
Mailing Address - Country:US
Mailing Address - Phone:787-604-6918
Mailing Address - Fax:
Practice Address - Street 1:75A CALLE BEGONIA
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-4118
Practice Address - Country:US
Practice Address - Phone:787-604-6918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-11
Last Update Date:2012-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR347695320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities