Provider Demographics
NPI:1962800888
Name:OFICINA DEL PROCURADOR DE LAS PERSONAS DE EDAD AVANZADA DEL ELA
Entity type:Organization
Organization Name:OFICINA DEL PROCURADOR DE LAS PERSONAS DE EDAD AVANZADA DEL ELA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROCURADORA
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SANCHEZ SALGADO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-721-6121
Mailing Address - Street 1:PO BOX 191179
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-1179
Mailing Address - Country:US
Mailing Address - Phone:787-721-6121
Mailing Address - Fax:787-919-7288
Practice Address - Street 1:1064 AVE. PONCE DE LEON 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919
Practice Address - Country:US
Practice Address - Phone:787-721-6121
Practice Address - Fax:787-919-7288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care