Organization Name: | MED HEALTH HOSPICE CORP |
NPI Number: | 1346447265 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUIS A MONTALVO (OWNER) |
Mailing Address: | 100 Ave Pedro Albizu Campos Centro Profesional Borinquen Local C 5 Cabo Rojo |
State: | PR US |
Postal Code: | 00623 |
Phone Number: | 7872544307 |
Fax Number: | 7872544307 |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 09/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 001367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |