Provider Demographics
NPI:1386281053
Name:YAUCO HEALTHCARE CORPORATION
Entity type:Organization
Organization Name:YAUCO HEALTHCARE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:DINORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-856-1000
Mailing Address - Street 1:PO BOX 5643
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-5643
Mailing Address - Country:US
Mailing Address - Phone:787-856-1000
Mailing Address - Fax:787-267-6614
Practice Address - Street 1:#92 CALLE SOL ESQUINA TORRES #75
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730
Practice Address - Country:US
Practice Address - Phone:787-856-1000
Practice Address - Fax:787-267-6614
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YAUCO HEALTH CARE CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-02
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty