| Organization Name: | HOGAR LLEVANDO LUZ A LAS TINIEBLAS, INC. |
| NPI Number: | 1053600270 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARMANDO RIJOS (ADDICTION COUNSELOR) |
| Mailing Address: | Pr 782 Km.9 Hm.7 Barrio Bayamoncito Sector El Punto Aguas Buenas |
| State: | PR US |
| Postal Code: | 00703 |
| Phone Number: | 7877322323 |
| Fax Number: | 7877322525 |
| NPI Enumeration Date: | 03/29/2011 |
| NPI Last Update Date: | 03/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 0589 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |