Provider Demographics
NPI:1427140607
Name:HOSPICIO PLENA SERENIDAD, INC
Entity type:Organization
Organization Name:HOSPICIO PLENA SERENIDAD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:MUNTANER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-757-6510
Mailing Address - Street 1:PO BOX 4608
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-4608
Mailing Address - Country:US
Mailing Address - Phone:787-757-6510
Mailing Address - Fax:787-757-6499
Practice Address - Street 1:1 AVE FIDALGO DIAZ # 30
Practice Address - Street 2:VILLA ASTURIAS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-3479
Practice Address - Country:US
Practice Address - Phone:787-757-6510
Practice Address - Fax:787-757-6499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based