Provider Demographics
NPI:1700176997
Name:CORPORACION PARALA ASISTENCIA SUPERVISADA
Entity type:Organization
Organization Name:CORPORACION PARALA ASISTENCIA SUPERVISADA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PLANNING AND DEVELOPMENTDIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:787-753-8095
Mailing Address - Street 1:COLINA REAL # 114
Mailing Address - Street 2:URBANIZACION EL VEDADO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6644
Mailing Address - Country:US
Mailing Address - Phone:787-753-8095
Mailing Address - Fax:787-753-4399
Practice Address - Street 1:121 CALLE ATENAS
Practice Address - Street 2:EXTENSION FORREST HILLS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5603
Practice Address - Country:US
Practice Address - Phone:787-780-4111
Practice Address - Fax:787-787-5787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-09
Last Update Date:2011-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care