Hogar Luz De Vida INC
NPI #1083150262 in Mayaguez, Puerto Rico
Provider Information
- NPI Number
- 1083150262
- Entity Type
- Organization
- Organization Name
- Hogar Luz De Vida INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 12, 2017
- Last Updated
- Jan 12, 2017
Practice Location
- Address
- CARR 108 KM 10.9 RAMAL 4430 INTERIOR
- Address 2
- BO LEQUISAMO
- City
- Mayaguez
- State
- Puerto Rico
- ZIP Code
- 00681
- Phone
- (787) 833-1508
Authorized Official
- Name
- MR. WALTER ORLANDO PEREZ-RODRIGUEZ
- Title
- EXECUTIVE DIRECTOR
- Phone
- (787) 410-0781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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