Provider Demographics
NPI:1932150810
Name:VISITING NURSE ASSOCIATION GREGORIA AUFFANT,INC
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION GREGORIA AUFFANT,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:787-753-8095
Mailing Address - Street 1:114 CALLE ELEONOR ROOSEVELT
Mailing Address - Street 2:URB. EL VEDADO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3105
Mailing Address - Country:US
Mailing Address - Phone:787-754-4211
Mailing Address - Fax:787-753-8095
Practice Address - Street 1:114 CALLE ELEONOR ROOSEVELT
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3105
Practice Address - Country:US
Practice Address - Phone:787-753-8095
Practice Address - Fax:787-753-8095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR31251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR407001Medicare ID - Type Unspecified