Provider Demographics
NPI:1306584545
Name:CHILDREN HEALTH & CARE SERVICE
Entity type:Organization
Organization Name:CHILDREN HEALTH & CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GISELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RIVERA LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-548-1737
Mailing Address - Street 1:URB. SAN PEDRO
Mailing Address - Street 2:CALLE JONAS J2
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-5414
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:URB. SAN PEDRO
Practice Address - Street 2:CALLE JONAS J2
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-5414
Practice Address - Country:US
Practice Address - Phone:787-548-1737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty