Provider Demographics
NPI:1770716714
Name:NUEVA ESPERANZA ADULT DAY CARE
Entity type:Organization
Organization Name:NUEVA ESPERANZA ADULT DAY CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GUSTAVO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:956-849-1452
Mailing Address - Street 1:34 CORMORANT CIR
Mailing Address - Street 2:
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584-8547
Mailing Address - Country:US
Mailing Address - Phone:956-849-1452
Mailing Address - Fax:956-849-7142
Practice Address - Street 1:228 CORMORANT CIR
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-8545
Practice Address - Country:US
Practice Address - Phone:956-849-1452
Practice Address - Fax:956-849-1826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care