Provider Demographics
NPI:1932394624
Name:YOLANDA CARAVEO AND DEANNETTE L. CORTEZ
Entity Type:Organization
Organization Name:YOLANDA CARAVEO AND DEANNETTE L. CORTEZ
Other - Org Name:HACIENDA DE SALUD ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DEANNETTE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-655-4871
Mailing Address - Street 1:13600 E HWY 107 STE 8
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-1645
Mailing Address - Country:US
Mailing Address - Phone:956-262-0437
Mailing Address - Fax:
Practice Address - Street 1:4211 MICHAEL BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7725
Practice Address - Country:US
Practice Address - Phone:956-655-4871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care