Provider Demographics
NPI:1063455319
Name:LA ROSA DE SARON CARING FURNITURE, INC
Entity type:Organization
Organization Name:LA ROSA DE SARON CARING FURNITURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:IVIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-880-0559
Mailing Address - Street 1:259 AVE JUAN ROSADO
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-4826
Mailing Address - Country:US
Mailing Address - Phone:787-880-0559
Mailing Address - Fax:787-817-7740
Practice Address - Street 1:259 AVE JUAN ROSADO
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4826
Practice Address - Country:US
Practice Address - Phone:787-880-0559
Practice Address - Fax:787-817-7740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BX2000X
PR07-F-19743336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4672180001Medicare NSC