Provider Demographics
NPI:1740729896
Name:HOGAR SANTISIMA TRINIDAD, INC.
Entity type:Organization
Organization Name:HOGAR SANTISIMA TRINIDAD, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-799-6208
Mailing Address - Street 1:PO BOX 607071
Mailing Address - Street 2:PMB 326A
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-7071
Mailing Address - Country:US
Mailing Address - Phone:787-799-6208
Mailing Address - Fax:787-799-1977
Practice Address - Street 1:CARR 861 # KM7.0
Practice Address - Street 2:BO. MUCARABONES
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-8528
Practice Address - Country:US
Practice Address - Phone:787-799-6208
Practice Address - Fax:787-799-1977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRCB0002261QR0405X
276400000X, 324500000X
PRCTRSA-0002324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility