Provider Demographics
NPI:1912720749
Name:SOCIAL HEALTH LLC
Entity type:Organization
Organization Name:SOCIAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIEGO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOINAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-294-5551
Mailing Address - Street 1:1353 LUIS VIGOREAUX AVE.
Mailing Address - Street 2:PMB 486
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-294-5551
Mailing Address - Fax:
Practice Address - Street 1:1883 CALLE GLASGOW
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-4820
Practice Address - Country:US
Practice Address - Phone:787-294-5551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management