Hogar Divino Nino Jesus

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

CDTD0174 Issued in PR

Legal business name

HOGAR DIVINO NINO JESUS

Practice address

Carretera 854 KM 3.5
Toa Baja, PR 00951

Phone

(787) 794-0020

Fax

(787) 794-3792

NPI assigned

Jun 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Carlos J Pacheco

Title

Administrative Director

Phone

(787) 794-0020

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luisa Morales Figueroa, PSYD

  • Clinical Psychologist
  • Toa Baja, PR
  • NPI 1093565210
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114129889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 2464",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009512662",
            "telephone_number": "787-794-0020",
            "fax_number": "787-794-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 854 KM 3.5",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00951",
            "telephone_number": "787-794-0020",
            "fax_number": "787-794-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGAR DIVINO NINO JESUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "787-794-0020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "PR",
            "license": "CDTD0174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fermin Hernandez, M.D.
• Maria Antonia Hernandez
• Viviana Maria Hernandez, SLP
• Nitza Herrans, P.T
• HMG Services
• Hogar Dona Ana, Inc
• Hogar Llevando Luz a Las Tinieblas
• Home Ulcer Care Inc.
• I H S Corporation
• Iconos Vision

• Psychiatric Residential Treatment Facility in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Psychiatric Residential Treatment Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.