HOGAR LUZ DE VIDA INC (NPI# 1083150262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083150262 |
| Entity Type | Organization |
| Organization Name | HOGAR LUZ DE VIDA INC |
| Other Organization Name | HOGAR LUZ DE VIDA |
| Practice Address |
Carr 108 Km 10.9 Ramal 4430 Interior Bo Lequisamo Mayaguez PR 00681 |
| Mailing Address |
Po Box 219 Mayaguez PR 00681-0219 |
| Practice Telephone | 7878331508 |
| Mailing Telephone | 7878331508 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | MR. WALTER ORLANDO PEREZ-RODRIGUEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7874100781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 0348 | PR | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Hogar Luz de Vida | Other Name - Individual/Organization |
| Street Address |
CARR 108 KM 10.9 RAMAL 4430 INTERIOR BO LEQUISAMO |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826385 | Iocp Optical LLC | Optometrist | Edificio 101 Mendez Vigo, Mayaguez, PR 00681 | 2020-03-17 |
| 1295365674 | Yaniel A Garcia Cortes | Pharmacist | Carr#2 Puerto Rico, Mayaguez, 00681, Mayaguez, PR 00681 | 2020-01-24 |
| 1922647007 | Melissa Ramirez-gonzalez | Pharmacy | Carr 352 Km 4.6 Bo Leguisamo, Mayaguez, PR 00681 | 2020-01-06 |
| 1942849849 | Joshua Rafael Gonzalez Echevarria | Nurse Anesthetist, Certified Registered | Calle Doctor Barbosa # 15, Mayaguez, PR 00681 | 2019-12-26 |
| 1619516432 | Melodie Katherine Padilla Santiago | Psychologist | Calle Ramon Emeterio Betances, #392, Mayaguez, Pr, PR 00681 | 2019-12-26 |
| 1831757350 | Juan Cristian Perez Olmos | Family Medicine | 410 Carretera 2 Ave Hostos, Bo Sabalos, Mayaguez, PR 00681 | 2019-05-30 |
| 1790342491 | Freddie Irizarry-delgado | Student in an Organized Health Care Education/Training Program | 15 Calle Doctor Basora, Mayaguez, PR 00681 | 2019-05-29 |
| 1720553514 | Optical Supercenter Arecibo Corp. | Optometrist | 4 Calle Zafiro, Vista Verde, Mayaguez, PR 00681 | 2018-10-08 |
| 1194215756 | Manuel Morillo Menendez | Family Medicine | 410 Ave Hostos Carr 2, Bo Sabalos, Mayaguez, PR 00681 | 2018-05-18 |
| 1972017325 | Pedro L. Cortes Jr. | Psychologist | Professional Building Plaza, Avenida Hostos 770 Suite 302, Mayaguez, PR 00681 | 2017-11-21 |
| Find all providers in zip 00681 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458878 | Centro Cristiano De Educacion Integral La Puerta Inc | Substance Abuse Rehabilitation Facility | Carretera 874 Km 0.2 Bo. Canovanillas, Carolina, PR 00986 | 2019-10-14 |
| 1770043705 | Estancia Serena, Inc. | Substance Abuse Rehabilitation Facility | Carr. 929 Km 1.9, Bo. Lirios, Juncos, PR 00777 | 2019-03-25 |
| 1740729896 | Hogar Santisima Trinidad, Inc. | Substance Abuse Rehabilitation Facility | Carr 861 # Km7.0, Bo. Mucarabones, Toa Alta, PR 00953-8528 | 2017-02-21 |
| 1902282247 | Iniciativa Comunitaria De Investigacion | Substance Abuse Rehabilitation Facility | Calle Toscania #1196, Urb. Villa Capri, San Juan, PR 00924 | 2015-08-10 |
| 1891035929 | Transformados Health Detox Psc | Substance Abuse Rehabilitation Facility | Carrt 821 Km 2.1 Sector El Charol, Bo Abras, Corozal, PR 00783 | 2013-02-27 |
| 1881939551 | Fundacion U.p.e.n.s., Inc. | Substance Abuse Rehabilitation Facility | Calle Luis Munoz Rivera Solar A, Vega Alta, PR 00692 | 2012-12-06 |
| 1518255017 | La Perla De Gran Precio | Substance Abuse Rehabilitation Facility | Carr. 816 Km 5.8, Sector Los Vargas, Barrio Nuevo, Bayamon, PR 00956 | 2011-07-18 |
| 1023303187 | Jose Ruiz | Substance Abuse Rehabilitation Facility | Road 830 Km 3.3, Sec. Ortega, Bo. Cerro Gordo, Bayamon, PR 00960 | 2011-06-16 |
| 1124312251 | Hogar Llevando Luz A Las Tinieblas | Substance Abuse Rehabilitation Facility | 1007 Ave Dos Palmas, Toa Baja, PR 00949-4101 | 2011-06-07 |
| 1720379704 | Corda of Pr Inc | Substance Abuse Rehabilitation Facility | Carr 910 Int Km 4.3 Bo Catano, Humacao, PR 00792 | 2011-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.