Provider Demographics
NPI:1063289965
Name:NEW HORIZON PR CORP.
Entity type:Organization
Organization Name:NEW HORIZON PR CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RA
Authorized Official - Prefix:
Authorized Official - First Name:DELVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-346-9966
Mailing Address - Street 1:14270 SW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6544
Mailing Address - Country:US
Mailing Address - Phone:786-314-4504
Mailing Address - Fax:
Practice Address - Street 1:URB EXT EL COMANDANTE
Practice Address - Street 2:CALLE KELLY #352
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00986
Practice Address - Country:US
Practice Address - Phone:787-346-9966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health